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1942691811 NPI number — RAQUEL TURNBOW NOONAN MPAS, PA-C

NPI Number: 1942691811
Health Care Provider/Practitioner: RAQUEL TURNBOW NOONAN MPAS, PA-C

Information about “1942691811” NPI (RAQUEL TURNBOW NOONAN MPAS, PA-C) exists in 1942691811 in HTML format HTML  |  1942691811 in plain Text format TXT  |  1942691811 in PDF (Portable Document Format) PDF  |  1942691811 in an XML format XML  formats.

NPI Number : 1942691811 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1942691811",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "NOONAN",
    "FirstName": "RAQUEL",
    "MiddleName": "TURNBOW",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "MPAS, PA-C",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "TURNBOW",
    "OtherFirstName": "RAQUEL",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "MPAS, PA-C",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "2222 NW LOVEJOY ST STE 419",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PORTLAND",
    "MailingAddressStateName": "OR",
    "MailingAddressPostalCode": "97210-5102",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2222 NW LOVEJOY ST STE 419",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PORTLAND",
    "PracticeLocationAddressStateName": "OR",
    "PracticeLocationAddressPostalCode": "97210-5102",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "503-413-4488",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "02/12/2015",
    "LastUpdateDate": "06/13/2016",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "363A00000X",
        "TaxonomyName": "Physician Assistant",
        "LicenseNumber": "PA170455",
        "LicenseNumberStateCode": "OR",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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