Individual
REBECCA PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
104 5TH ST, HOOD RIVER, OR 97031-2058
(541) 490-1444
Mailing address
104 5TH ST, HOOD RIVER, OR 97031-2058
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
20956
OR
Other
Enumeration date
10/10/2015
Last updated
10/10/2015
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