LOURDES QUINTANILLA-DIECK MD
Individual Provider (NPI-1)
Active
Otolaryngology
Provider Information
- NPI Number
1528293545- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 3181 SW SAM JACKSON PARK RD, PORTLAND, OR, 972393011
- Phone
- (503) 494-5674
- Fax
- (503) 494-4631
Specialties & Taxonomies
Otolaryngology, Pediatric Otolaryngology
License: OR #MD173369
Otolaryngology
Primary License: OR #MD173369