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Individual

MARIBETH QUINN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM, FNP

Contact information

Practice address
500 NE A ST STE 102, MADRAS, OR 97741-1842
(541) 475-4456
(541) 475-0132
Mailing address
500 NE A ST STE 102, MADRAS, OR 97741-1842
(541) 325-5001
(541) 475-0132

Taxonomy

Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
201607738NP-PP
OR
251K00000X
Public Health or Welfare Agency
OR
367A00000X
Advanced Practice Midwife
Primary
033440-23-01
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11456705
CAQH
05
30010209
NH
05
30010209
OR
Enumeration date
06/14/2006
Last updated
02/24/2026
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