Individual
ROLANDO QUINONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5329 NE MLK JR BLVD, PORTLAND, OR 97211-3237
(503) 988-3634
Mailing address
9311 NE GLISAN ST, PORTLAND, OR 97220-4569
(971) 322-9530
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
0002383
OR
Other
Enumeration date
06/30/2020
Last updated
06/30/2020
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