Provider Demographics
NPI:1598934879
Name:QUIJANO, HARLEM H (DC)
Entity Type:Individual
Prefix:DR
First Name:HARLEM
Middle Name:H
Last Name:QUIJANO
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4016 MUNKERS ST SE
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97317-5839
Mailing Address - Country:US
Mailing Address - Phone:503-877-9745
Mailing Address - Fax:503-763-8821
Practice Address - Street 1:4016 MUNKERS ST SE
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97317-5839
Practice Address - Country:US
Practice Address - Phone:503-877-9745
Practice Address - Fax:503-763-8821
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-21
Last Update Date:2013-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR3812111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor