Individual
TERAH PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCP
Contact information
Practice address
500 NE MULTNOMAH ST, PORTLAND, OR 97232-2023
(832) 647-7262
Mailing address
4440 SEPULVEDA BLVD APT 420, SHERMAN OAKS, CA 91403-3943
(832) 647-7262
Taxonomy
Speciality
Code
Description
License number
State
242T00000X
Perfusionist
Primary
—
—
Other
Enumeration date
12/16/2021
Last updated
12/16/2021
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