Individual
BRETT PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
QMHA
Contact information
Practice address
606 MEDICAL PKWY, ENTERPRISE, OR 97828-5140
(541) 426-4524
Mailing address
606 MEDICAL PKWY, ENTERPRISE, OR 97828-5140
(541) 426-4524
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
24-QMHA-R-5112
OR
Other
Enumeration date
03/19/2024
Last updated
03/19/2024
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