Individual
MR. NATHAN QUINN JIMENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PWS
Contact information
Practice address
2438 SE 41ST AVE APT 209, PORTLAND, OR 97214-5970
(503) 888-5309
Mailing address
2438 SE 41ST AVE # 97214, PORTLAND, OR 97214-5998
(503) 888-5309
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
116576
OR
Other
Enumeration date
05/12/2026
Last updated
05/12/2026
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