Provider Demographics
NPI:1447786330
Name:ABEL, QUINN
Entity Type:Individual
Prefix:
First Name:QUINN
Middle Name:
Last Name:ABEL
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 1:6410 238TH AVE NE
Mailing Address - Street 2:
Mailing Address - City:REDMOND
Mailing Address - State:WA
Mailing Address - Zip Code:98053-8628
Mailing Address - Country:US
Mailing Address - Phone:425-985-1778
Mailing Address - Fax:
Practice Address - Street 1:6410 238TH AVE NE
Practice Address - Street 2:
Practice Address - City:REDMOND
Practice Address - State:WA
Practice Address - Zip Code:98053-8628
Practice Address - Country:US
Practice Address - Phone:425-985-1778
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-11
Last Update Date:2017-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAABELQC034PQOtherSTATE LICENSE