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Individual

AUTUMN L QUIROZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1601 E 4TH BLVD, VANCOUVER, WA 98661
(360) 397-8246
Mailing address
211 SE 89TH AVE, PORTLAND, OR 97216-1539
(971) 202-6431

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
171M00000X
Case Manager/Care Coordinator
Primary
WA

Other

Enumeration date
08/13/2019
Last updated
12/02/2019
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