ROSS ALLEN QUACKENBUSH

SALEM, OR
NPI1184615288
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: OR  1140)
Enumeration Date2005-10-30
Last Update Date2007-07-08
Business Address
Dr. ROSS ALLEN QUACKENBUSH Psy.D.
2493 STATE ST
SALEM, OR 97301-4543
Phone number: 503-588-1010
Mailing Address
Dr. ROSS ALLEN QUACKENBUSH Psy.D.
2493 STATE ST
SALEM, OR 97301-4543
Phone number: 503-588-1010
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