Healthcare Provider Details

I. General information

NPI: 1790880136
Provider Name (Legal Business Name): DANIEL J QUIGGINS PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/13/2006
Last Update Date: 11/21/2025
Certification Date: 11/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9865 SW 158TH AVE
BEAVERTON OR
97007-8337
US

IV. Provider business mailing address

14845 SW MURRAY SCHOLLS DR STE 110
BEAVERTON OR
97007-9237
US

V. Phone/Fax

Practice location:
  • Phone: 503-686-5711
  • Fax: 503-386-4188
Mailing address:
  • Phone: 503-686-5711
  • Fax: 503-386-4188

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number1315
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: