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Individual
SELBY J PARKER
Active
Individual
SELBY J PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10003470
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1709PA
REGENCE BLUE SHIELD RIDER
—
05
—
8128357
—
WA
Enumeration date
03/14/2006
Last updated
07/13/2026
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