Lourdes Quintanilla-Dieck, MD
Otolaryngology in Portland, OR. Individual provider (NPI-1).
NPI number1528293545
StatusActive
Last updated in NPPESMay 18, 2023
Details
- NPI
- 1528293545
- Entity type
- Individual (NPI-1)
- Name
- Lourdes Quintanilla-Dieck
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 19, 2009
- Certification date
- May 18, 2023
- Last updated
- May 18, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Y00000X | Otolaryngology | MD173369 | OR | Yes |
| 207YP0228X | Otolaryngology, Pediatric Otolaryngology | MD173369 | OR |
Practice location
3181 Sw Sam Jackson Park RdPortland, OR 97239-3011
Phone 503-494-5674 · Fax 503-494-4631
Mailing address
3181 Sw Sam Jackson Park RdPortland, OR 97239-3011
Phone 503-494-5674 · Fax 503-494-4631
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