Mckenna Rose Quist

NPI #1174289896 in Gresham, Oregon

Provider Information

NPI Number: 1174289896
Entity Type: Individual
Name: Mckenna Rose Quist
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Nov 17, 2021
Last Updated: Nov 17, 2021

Practice Location

Address: 1851 NW CIVIC DR
City: Gresham
State: Oregon
ZIP Code: 97030-5566
Phone: (971) 292-1050

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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