Doctor Name: | PATRICIA ANN QUICK |
NPI Number: | 1619207248 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | 200141210RN |
Business Practice Address: | 4909 S Coast Hwy South Beach, OR - 973669616 |
Business Phone Number: | 5415745960 |
Business Fax Number: | |
Mailing Address: | 4909 S Coast Hwy, SOUTH BEACH |
State: | OR |
Postal Code: | 973669616 |
Phone Number: | 5415745960 |
Fax Number: | |
NPI Enumeration Date: | 01/04/2010 |
NPI Last Update Date: | 01/04/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WP0808X |
License Number: | 200141210RN |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |