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Individual

EUGENIO QUINTANILLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CADC

Contact information

Practice address
1610 WOODS CT, HOOD RIVER, OR 97031-2911
(541) 386-2620
(541) 386-6075
Mailing address
419 E 7TH ST STE 207, THE DALLES, OR 97058-2676
(541) 296-5452
(541) 296-9418

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CADC-II 97-04-54
OR

Other

Enumeration date
11/03/2010
Last updated
11/03/2010
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