Individual
MRS. AMY DAWN PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1375 PEARL ST, EUGENE, OR 97401-3523
(541) 683-3377
Mailing address
2630 WINDSOR CIR E, EUGENE, OR 97405-1252
(541) 505-6145
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
22481
OR
Other
Enumeration date
01/11/2017
Last updated
01/11/2017
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