Most Relevant Information
Provider Data
| NPI Number: | 1003653676 |
| Provider Name: | NOAH FRANK THW |
| Entity Type: | Individual |
| Taxonomy Code: | 175T00000X |
| Specialty: | Peer Specialist |
| License Number: | THW000111671 |
Most Important Dates
| Enumeration Date: | 07/11/2024 |
| Last Updated: | 07/11/2024 |
Provider Practice Location
1966 GARDEN AVE
EUGENE
OR
974031933
Practice Location Phone/Fax
| Phone: | 5415059190 |
| Fax: | 5415059264 |
Provider Mailing Location
1966 GARDEN AVE
EUGENE
OR
974031933
Provider Mailing Phone/Fax
| Phone: | 5415059190 |
| Fax: | 5415059264 |