Provider Demographics
NPI:1467770867
Name:QUINTON, TITIA GERALDINE (MA)
Entity Type:Individual
Prefix:MRS
First Name:TITIA
Middle Name:GERALDINE
Last Name:QUINTON
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2310 NE STANTON ST
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97212-3439
Mailing Address - Country:US
Mailing Address - Phone:503-332-8571
Mailing Address - Fax:
Practice Address - Street 1:3800 NE SANDY BLVD
Practice Address - Street 2:SUITE 124
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97232-1836
Practice Address - Country:US
Practice Address - Phone:503-332-8571
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-10
Last Update Date:2010-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor