Individual
DR. LON MCQUILLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
777 NW 9TH ST, SUITE 320, CORVALLIS, OR 97330-6169
(541) 768-4900
Mailing address
PO BOX 1189, CORVALLIS, OR 97339-1189
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD25013
OR
Other
Enumeration date
06/15/2006
Last updated
11/06/2020
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