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Organization

MEDARIAN LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. ETHAN CHRISTOPHER PARKER SR. CEO (OWNER)
(971) 314-2900
Entity
Organization

Contact information

Practice address
10625 SE 362ND AVE UNIT B4, BORING, OR 97009-9741
(971) 314-2900
Mailing address
10625 SE 362ND AVE UNIT B4, BORING, OR 97009-9741
(971) 314-2900

Taxonomy

Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary

Other

Enumeration date
07/10/2026
Last updated
07/10/2026
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