Individual
GLENDA QUEZADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
209 SW 4TH AVE STE 520, PORTLAND, OR 97204-1825
(971) 344-6528
Mailing address
12280 NW BARNES RD APT 592, PORTLAND, OR 97229
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
374J00000X
Doula
—
—
Other
Enumeration date
03/27/2017
Last updated
01/16/2020
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