Individual
NICOLE TERESA QUARLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4531 SE BELMONT ST STE 118, PORTLAND, OR 97215-1675
(971) 361-8303
Mailing address
5212 N HOUGHTON ST, PORTLAND, OR 97203-5944
(203) 362-8320
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/26/2022
Last updated
04/26/2022
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