Individual
JOHN JEFFERY PARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
519 NW DIVISION ST, SUITE 220, GRESHAM, OR 97030-5527
(503) 666-7644
(503) 674-9980
Mailing address
16083 SW UPPER BOONES FERRY RD, STE 300, TIGARD, OR 97224-7736
(800) 219-8835
(503) 639-9699
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3725
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0328953
WA L&I
OR
01
—
0330313
WA L&I
OR
05
—
269090
—
OR
01
—
650016939
RR MEDICARE
OR
Enumeration date
11/23/2005
Last updated
10/09/2014
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