Provider Demographics
NPI:1952927170
Name:MCQUILLIN VOSS, PATRICIA ANN (CNM, PMHNP-BC)
Entity Type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:ANN
Last Name:MCQUILLIN VOSS
Suffix:
Gender:F
Credentials:CNM, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1008
Mailing Address - Street 2:
Mailing Address - City:ESTACADA
Mailing Address - State:OR
Mailing Address - Zip Code:97023-1008
Mailing Address - Country:US
Mailing Address - Phone:406-390-0084
Mailing Address - Fax:
Practice Address - Street 1:548 SW DOGWOOD RD
Practice Address - Street 2:
Practice Address - City:ESTACADA
Practice Address - State:OR
Practice Address - Zip Code:97023-9563
Practice Address - Country:US
Practice Address - Phone:406-390-0084
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-23
Last Update Date:2023-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTNUR-APRN-LIC-100013363LP0808X, 367A00000X
COAPN.0998475-NP363LP0808X
OR201500552NPPP363LP0808X
COAPN.0998476-CNM367A00000X
OR201500552NP-PP367A00000X, 363LP0808X
WA60925636367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife