Individual
DEBORAH ANN PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPSS
Contact information
Practice address
5585 WOODSIDE DR SE, APT 67, SALEM, OR 97306-9801
(971) 218-3500
Mailing address
5585 WOODSIDE DR. SE, APT 67, SALEM, OR 97306
(971) 218-3500
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0000
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P626139067577
DRIVER'S LICENSE #
MI
Enumeration date
01/18/2011
Last updated
01/18/2011
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