Individual
TINA LOUISE PARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 MONROE ST, MEDFORD, OR 97501-3522
(541) 261-0956
Mailing address
1822 CORONA AVE, MEDFORD, OR 97504-5218
(541) 261-0956
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1346883188
MASLOW PROJECT
OR
Enumeration date
01/28/2021
Last updated
01/28/2021
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