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Individual

DANIELLE AMELIE PARKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTD

Contact information

Practice address
1015 NW 22ND AVE, PORTLAND, OR 97210-3025
(971) 930-7299
Mailing address
1015 NW 22ND AVE, PORTLAND, OR 97210-3025

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
410880
OR

Other

Enumeration date
04/13/2020
Last updated
04/13/2020
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