Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | MD16709 | OR |
NPI | 1003073289 |
---|---|
Provider Name | Dr. Michele Quinn |
First Address | Portland, OR 97223-8692 |
Second Address | Oregon City, OR 97045-1582 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/05/2008 |
Last Update Date | 14/08/2015 |