Provider Demographics
NPI:1295526606
Name:QUINLAN, AMENA E (RN)
Entity type:Individual
Prefix:
First Name:AMENA
Middle Name:E
Last Name:QUINLAN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20831 SE FIRWOOD RD
Mailing Address - Street 2:
Mailing Address - City:SANDY
Mailing Address - State:OR
Mailing Address - Zip Code:97055-9487
Mailing Address - Country:US
Mailing Address - Phone:971-888-2745
Mailing Address - Fax:503-213-9135
Practice Address - Street 1:20831 SE FIRWOOD RD
Practice Address - Street 2:
Practice Address - City:SANDY
Practice Address - State:OR
Practice Address - Zip Code:97055-9487
Practice Address - Country:US
Practice Address - Phone:971-888-2745
Practice Address - Fax:503-213-9135
Is Sole Proprietor?:No
Enumeration Date:2025-05-14
Last Update Date:2025-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR10033027163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse