Individual
DESIRAE PARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2485 W 7TH PL, EUGENE, OR 97402-2687
(541) 344-4788
Mailing address
PO BOX 40771, EUGENE, OR 97404-0133
(541) 344-4788
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
25255
OR
Other
Enumeration date
10/30/2019
Last updated
10/30/2019
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