Individual
ZARA MICHELLE PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
4170 NE EL CAMINO DR, GRESHAM, OR 97030-1749
(503) 841-0950
Mailing address
4170 NE EL CAMINO DR, GRESHAM, OR 97030-1749
(503) 841-0950
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA 60214632
WA
Other
Enumeration date
06/22/2011
Last updated
06/22/2011
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