Individual
ROBERT C QUACKENBUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD00039975
WA
207RX0202X
Medical Oncology Physician
Primary
MD00039975
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1118421
—
WA
05
—
227516
—
OR
05
—
8060599
—
ID
01
—
P00057996
RRMC
WA
Enumeration date
05/25/2006
Last updated
06/26/2013
Update your record
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