Provider Demographics
NPI:1073727699
Name:SALAMEH, QUINNE JEHAN (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:QUINNE
Middle Name:JEHAN
Last Name:SALAMEH
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2026 N FARRAGUT ST
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97217-6421
Mailing Address - Country:US
Mailing Address - Phone:971-212-3497
Mailing Address - Fax:
Practice Address - Street 1:315 SW 5TH AVE
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97204-1703
Practice Address - Country:US
Practice Address - Phone:971-212-3497
Practice Address - Fax:971-212-3497
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-10
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health