Provider Demographics
NPI:1619773009
Name:BRECHBIEL, NOELLE
Entity type:Individual
Prefix:
First Name:NOELLE
Middle Name:
Last Name:BRECHBIEL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16620 SE EVERGREEN LN
Mailing Address - Street 2:
Mailing Address - City:MILWAUKIE
Mailing Address - State:OR
Mailing Address - Zip Code:97267-4747
Mailing Address - Country:US
Mailing Address - Phone:503-309-4426
Mailing Address - Fax:
Practice Address - Street 1:510 E BERKELEY ST
Practice Address - Street 2:
Practice Address - City:GLADSTONE
Practice Address - State:OR
Practice Address - Zip Code:97027-2511
Practice Address - Country:US
Practice Address - Phone:503-309-4426
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-25
Last Update Date:2025-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health