Individual
HESADIAH I PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1675 SW MARLOW AVE STE 200, PORTLAND, OR 97225-5102
(866) 523-4268
Mailing address
7946 SE 76TH PL, PORTLAND, OR 97206-8689
(971) 500-9645
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
OR
Other
Enumeration date
03/14/2023
Last updated
03/14/2023
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