Individual
BONITA GAIL QUINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3180 CENTER ST NE, SALEM, OR 97301-4532
(503) 588-5357
Mailing address
2735 27TH AVE SE, ALBANY, OR 97322-5409
(541) 905-6285
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
200942502RN
OR
Other
Enumeration date
10/14/2009
Last updated
10/14/2009
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