Provider Demographics
NPI:1578171435
Name:FIORLETTA QUIROGA, ELEONORA (MD)
Entity type:Individual
Prefix:
First Name:ELEONORA
Middle Name:
Last Name:FIORLETTA QUIROGA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 24383
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98124-0383
Mailing Address - Country:US
Mailing Address - Phone:541-770-4559
Mailing Address - Fax:
Practice Address - Street 1:1032 E JACKSON ST
Practice Address - Street 2:
Practice Address - City:MEDFORD
Practice Address - State:OR
Practice Address - Zip Code:97504-7027
Practice Address - Country:US
Practice Address - Phone:541-770-4559
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-16
Last Update Date:2025-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD225571207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology