QUINTIN TODD MULDOON NPI 1649995598

NPI Information

  • NPI: 1649995598
  • Provider Name: QUINTIN TODD MULDOON
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 960 LIBERTY ST SE STE 120
    SALEM, OR
    ZIP 97302
  • Phone: (503) 588-2804

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NPI Details

Quintin Todd Muldoon is an addiction (substance use disorder) counselor in Salem, OR. Quintin Todd Muldoon NPI is 1649995598. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

960 LIBERTY ST SE STE 120
SALEM, OR
ZIP 97302-165
Phone: (503) 588-2804
Fax: (503) 371-6743

The enumeration date for this NPI number is 10/4/2022 and was last updated on 6/15/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

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