Individual
JORGE QUIROGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
18107 BALDWIN RD, BOTHELL, WA 98012-6229
(206) 683-9272
Mailing address
PO BOX 1501, BOTHELL, WA 98041-1501
(206) 683-9272
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
MC16584
WA
Other
Enumeration date
05/05/2021
Last updated
05/05/2021
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