Individual
MR. ROB MCQUEEN-JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1103 NE ELM ST, PRINEVILLE, OR 97754-1664
(541) 323-5330
Mailing address
1103 NE ELM ST, PRINEVILLE, OR 97754-1664
(541) 323-5330
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
QMHA
OR
Other
Enumeration date
08/19/2020
Last updated
08/19/2020
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