Provider Demographics
NPI:1083509335
Name:QUINLAN, VIOLET (BEHAVIOR TECHNITIAN)
Entity type:Individual
Prefix:
First Name:VIOLET
Middle Name:
Last Name:QUINLAN
Suffix:
Gender:X
Credentials:BEHAVIOR TECHNITIAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11472 SW LOMAX TER
Mailing Address - Street 2:
Mailing Address - City:TIGARD
Mailing Address - State:OR
Mailing Address - Zip Code:97223-2115
Mailing Address - Country:US
Mailing Address - Phone:971-724-2601
Mailing Address - Fax:
Practice Address - Street 1:3535 N LOMBARD ST
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97217-5901
Practice Address - Country:US
Practice Address - Phone:800-273-4292
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-09
Last Update Date:2025-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician