Healthcare Provider Details

I. General information

NPI: 1891051058
Provider Name (Legal Business Name): MRS. NOELLE CHRISTINE MCLAUGHLIN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/02/2012
Last Update Date: 03/24/2026
Certification Date: 03/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

235 SE NORTON LN STE C
MCMINNVILLE OR
97128-8479
US

IV. Provider business mailing address

235 SE NORTON LN STE C
MCMINNVILLE OR
97128-8479
US

V. Phone/Fax

Practice location:
  • Phone: 503-225-0382
  • Fax: 541-702-1239
Mailing address:
  • Phone: 503-225-0382
  • Fax: 541-702-1239

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number201405805NP-PP
License Number StateOR
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number200741427RN
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: