Individual
JUSTINE E PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
380 9TH ST, FLORENCE, OR 97439-9470
(541) 997-7134
Mailing address
1115 SE 164TH AVE DEPT 358, VANCOUVER, WA 98683-8004
(360) 729-1253
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO181578
OR
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/26/2013
Last updated
07/21/2022
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