Individual
BOBBIE JO QUALLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CHW
Contact information
Practice address
620 RANCH RD, REEDSPORT, OR 97467-1796
(541) 271-2163
(541) 271-4058
Mailing address
1873 DEANS CREEK RD, REEDSPORT, OR 97467-9772
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
116198
OR
Other
Enumeration date
02/12/2026
Last updated
02/12/2026
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