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NPI Code Detail

MEDICARE: QUIJANO FAMILY PRACTICE

MEDICARE: QUIJANO FAMILY PRACTICE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician

General Provider Information

NPI Number : 1518195957
Entity Type Code : Organization
Provider Name (Legal Business Name) : QUIJANO FAMILY PRACTICE
Provider Business Mailing Address
First Line : PO BOX 12969
Second Line :
City : SALEM
State : OR
Zip : 97309-0969
Country : US
Telephone Number : 503-399-7474
Fax Number : 503-399-0679
Provider Business Practice Location Address
First Line : 608 LANCASTER DR SE
Second Line :
City : SALEM
State : OR
Zip : 97317-5643
Country : US
Telephone Number : 503-399-7474
Fax Number : 503-399-0679
Authorized Official
Title or Position : OWNER
Name : DR. OSCAR M QUIJANO
Credential : MD
Telephone Number : 503-399-7474
Provider Enumeration Date : 06/24/2009
Last Update Date : 06/24/2009

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Directions to “QUIJANO FAMILY PRACTICE ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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