Individual
QUINN EMERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1001 PROVIDENCE DR, NEWBERG, OR 97132-7485
(503) 537-5607
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
DO126249
OR
207R00000X
Internal Medicine Physician
LL16781
OR
208M00000X
Hospitalist Physician
Primary
DO126249
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500608916
—
OR
01
—
P00830957
RR MEDICARE (PH&S)-PMG
OR
Enumeration date
05/09/2008
Last updated
11/15/2021
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