Individual
PARKER R FILLMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1321 COLBY AVE, EVERETT, WA 98201-1665
(425) 261-2000
(208) 367-5595
Mailing address
3340 E GOLDSTONE WAY, MERIDIAN, ID 83642-1026
(208) 367-7676
(208) 367-5595
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
44866
AZ
208600000X
Surgery Physician
M-13235
ID
2086S0102X
Surgical Critical Care Physician
Primary
1417155086
WA
2086S0127X
Trauma Surgery Physician
M-13235
ID
2086S0127X
Trauma Surgery Physician
MD61286229
WA
Other
Enumeration date
07/05/2007
Last updated
12/23/2025
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