Individual
MISS ANGELA JODEE-GRACE PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
5711 SW MULTNOMAH BLVD, PORTLAND, OR 97219-3145
(503) 245-7621
Mailing address
16886 NW PAISLEY DR., BEAVERTON, OR 97006-4729
(541) 556-4074
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
LP 2513
OR
Other
Enumeration date
09/13/2010
Last updated
09/13/2010
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