Provider Demographics
NPI:1588021331
Name:QUIGLEY, MEGAN E (LCSW)
Entity Type:Individual
Prefix:MS
First Name:MEGAN
Middle Name:E
Last Name:QUIGLEY
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 1:2301 NW THURMAN ST STE F
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97210-2581
Mailing Address - Country:US
Mailing Address - Phone:503-915-4906
Mailing Address - Fax:971-339-1995
Practice Address - Street 1:2301 NW THURMAN ST STE F
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97210-2581
Practice Address - Country:US
Practice Address - Phone:503-915-4906
Practice Address - Fax:971-339-1995
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-25
Last Update Date:2022-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR82591041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical