Individual
MIKAELA PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9290 SE SUNNYBROOK BLVD STE 230, CLACKAMAS, OR 97015-6777
(503) 215-2180
Mailing address
5934 S CORBETT AVE, PORTLAND, OR 97239-3710
(719) 313-2928
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
65705
OR
Other
Enumeration date
07/07/2025
Last updated
07/07/2025
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