Individual
DR. NATE D QUILICI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9205 SW BARNES RD, PORTLAND, OR 97225-6603
(503) 216-2181
(503) 216-4850
Mailing address
9400 SW BARNES RD, SUITE 307, PORTLAND, OR 97225-6608
(503) 292-9108
(503) 292-0346
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
7798
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
232678
—
OR
Enumeration date
05/23/2005
Last updated
07/16/2007
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