Individual
MR. ROBERT QUINN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC.
Contact information
Practice address
3514 NE 57TH, PORTLAND, OR 97213
(503) 313-5355
Mailing address
3526 NE 57TH AVE, PORTLAND, OR 97213-1737
(503) 313-5355
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC00431
OR
Other
Enumeration date
08/28/2007
Last updated
08/28/2007
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