Eugenio Quintanilla CADC

NPI 1215238571 - Counselor - 101YA0400X

NPI Details
NPI 1215238571
Gender Male
Enumeration Date 11/03/2010
Last Updated 11/03/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
1610 WOODS CT
HOOD RIVER OR, 97031-2911, US
Phone (541) 386-2620
Fax (541) 386-6075
Business Location
419 E 7TH ST STE 207
THE DALLES OR, 97058-2676, US
Phone (541) 296-5452
Fax (541) 296-9418
Toxanomy
Taxonomy Code 101YA0400X
License State Oregon
License Number CADC-II 97-04-54
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According to our database, Eugenio Quintanilla CADC NPI is 1215238571, taxonomy code is 101YA0400X and license number is CADC-II 97-04-54, license state is located at Oregon. Eugenio Quintanilla CADC physically located at 1610 Woods Ct, Hood River OR, 97031-2911. NPI Number Eugenio Quintanilla CADC has the Individual type.

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1215238571 NPI number is provided on an as is basis without warranty of any kind. 1215238571 is maintained by the National Plan & Provider Enumeration System. The contents of Eugenio Quintanilla CADC are for informational purposes only.