Individual
SCOTT PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, ATC
Contact information
Practice address
6061 BONITA RD, LAKE OSWEGO, OR 97035-2261
(651) 500-8919
Mailing address
6061 BONITA RD, LAKE OSWEGO, OR 97035-2261
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
10/03/2012
Last updated
10/03/2012
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