Individual
MS. THERESA J PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
QMHA, BA
Contact information
Practice address
1975 MCPHERSON ST, STE 2, NORTH BEND, OR 97459-3482
(541) 396-6241
(541) 756-8982
Mailing address
1975 MCPHERSON ST, STE 2, NORTH BEND, OR 97459-3482
(541) 396-6241
(541) 756-8982
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/06/2011
Last updated
01/06/2011
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