Individual
BRANDON QUINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7916 SE FOSTER RD STE 201, PORTLAND, OR 97206-4289
(971) 256-4127
Mailing address
PO BOX 16576, PORTLAND, OR 97292-0576
(971) 256-4127
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/01/2019
Last updated
07/01/2019
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