Organization
OLDER GROWTH PSYCHOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARC ROBERT PARKER PSYD (LICENSED PSYCHOLOGIST, OWNER)
(503) 227-3090
Entity
Organization
Contact information
Practice address
917 SW OAK ST STE 218, PORTLAND, OR 97205-2805
(503) 227-3090
(971) 339-5269
Mailing address
PO BOX 83837, PORTLAND, OR 97283-0837
(503) 227-3090
(971) 339-5269
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
04/26/2021
Last updated
05/05/2021
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