Individual
MARC ROBERT PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
1717 NE 42ND AVE STE 2103, PORTLAND, OR 97213-1570
(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
3372
OR
103TC0700X
Clinical Psychologist
PY61009916
WA
Other
Enumeration date
04/21/2016
Last updated
01/22/2024
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