Provider Demographics
NPI:1326051962
Name:NOEL, RAY ALLAN (MD)
Entity Type:Individual
Prefix:DR
First Name:RAY
Middle Name:ALLAN
Last Name:NOEL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2433 KALAMA RIVER RD
Mailing Address - Street 2:
Mailing Address - City:KALAMA
Mailing Address - State:WA
Mailing Address - Zip Code:98625-9626
Mailing Address - Country:US
Mailing Address - Phone:360-636-2400
Mailing Address - Fax:360-636-6851
Practice Address - Street 1:1230 7TH AVE
Practice Address - Street 2:
Practice Address - City:LONGVIEW
Practice Address - State:WA
Practice Address - Zip Code:98632-3166
Practice Address - Country:US
Practice Address - Phone:360-636-2400
Practice Address - Fax:360-636-6751
Is Sole Proprietor?:No
Enumeration Date:2006-08-14
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OROR MD08504207QA0401X, 208VP0000X
WAWA MD00013804207QA0401X, 208VP0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207QA0401XAllopathic & Osteopathic PhysiciansFamily MedicineAddiction Medicine
Not Answered208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain Medicine