# QUIJANO FAMILY PRACTICE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518195957
- **Authorized official:** DR. OSCAR M QUIJANO MD (OWNER)
- **Authorized official phone:** (503) 399-7474

## Contact information

- **Practice address:** 608 LANCASTER DR SE, SALEM, OR 97317-5643
- **Practice address phone:** (503) 399-7474
- **Practice address fax:** (503) 399-0679
- **Mailing address:** PO BOX 12969, SALEM, OR 97309-0969
- **Mailing address phone:** (503) 399-7474
- **Mailing address fax:** (503) 399-0679

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/24/2009
- **Last updated:** 06/24/2009