Individual
RODOLFO QUEVEDO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
300 W MAIN ST, MEDFORD, OR 97501-2756
(541) 973-4761
Mailing address
2178 CRATER LAKE AVE APT A, MEDFORD, OR 97504-5880
(541) 630-2669
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
04/17/2024
Last updated
04/17/2024
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