Individual
MARYELLEN PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2255 NW SHEVLIN PARK RD STE 110, BEND, OR 97703-7134
(541) 728-2525
(503) 917-4971
Mailing address
1375 NW KINGSTON AVE, BEND, OR 97703-2242
(541) 383-5958
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201501459NP-PP
OR
363LF0000X
Family Nurse Practitioner
22382
CA
Other
Enumeration date
09/14/2012
Last updated
02/05/2026
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