Individual
AMY LYN QUAYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
530 NW 27TH ST, CORVALLIS, OR 97330-5223
(541) 766-6835
(541) 766-6186
Mailing address
233 NW HILLCREST DR, DALLAS, OR 97338-1030
(541) 810-3755
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
THW000106175
OR
Other
Enumeration date
07/11/2022
Last updated
03/08/2023
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