Individual
JENNA QUILLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
66 CLUB RD STE 120, EUGENE, OR 97401-2439
(541) 393-5983
(541) 393-5984
Mailing address
66 CLUB RD STE 120, EUGENE, OR 97401-2439
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2866
OR
103TC0700X
Clinical Psychologist
2866
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/18/2013
Last updated
11/27/2024
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