Provider Demographics
NPI:1003056953
Name:QUINN, DORIAN D
Entity Type:Individual
Prefix:
First Name:DORIAN
Middle Name:D
Last Name:QUINN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6230 NE HALSEY ST
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97213-4718
Mailing Address - Country:US
Mailing Address - Phone:503-236-8697
Mailing Address - Fax:503-236-1525
Practice Address - Street 1:6230 NE HALSEY ST
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97213-4718
Practice Address - Country:US
Practice Address - Phone:503-236-8697
Practice Address - Fax:503-236-8697
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-04
Last Update Date:2009-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR27-2002111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor