Individual
KEITH BERTRAM QUENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-7660
(503) 494-4258
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-7660
(503) 494-4258
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
102077
MA
2085R0202X
Diagnostic Radiology Physician
MD206802
OR
2085R0204X
Vascular & Interventional Radiology Physician
053203
CT
2085R0204X
Vascular & Interventional Radiology Physician
Primary
MD206802
OR
Other
Enumeration date
06/18/2008
Last updated
11/30/2023
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