Individual
MR. JAMES EARL PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
346 NE QUIMBY AVE, BEND, OR 97701-4069
(541) 330-9003
Mailing address
PO BOX 5306, BEND, OR 97708-5306
(541) 330-9003
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
6823
OR
Other
Enumeration date
08/11/2006
Last updated
07/08/2007
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