Individual
BROCK PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10860 SE OAK ST, MILWAUKIE, OR 97222-6694
(503) 652-8058
Mailing address
14625 SW ALLEN BLVD, BEAVERTON, OR 97007-3697
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0017456
OR
Other
Enumeration date
09/17/2019
Last updated
11/27/2023
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