Individual
MS. CAROLINE ELIZABETH QUIST
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
290 MOYER LN NW, SALEM, OR 97304-3822
(503) 370-8899
(503) 363-4214
Mailing address
4366 TALBOT RD S, JEFFERSON, OR 97352-9747
(541) 327-1177
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
1047052
OR
Other
Enumeration date
04/28/2006
Last updated
07/08/2007
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