Individual provider · Type 1 NPI

Nicole E. Parker, PA-C

Medical Physician Assistant · Portland, OR

NPI number 1669478210 Active

Practice location

1040 NW 22nd Ave Ste 660
Portland, OR 97210-3083

Call (503) 413-7162 Map

Fax (503) 413-7148

Mailing address

PO Box 3777
Portland, OR 97208-3777

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA00794 (OR)

Medical Physician Assistant: Definition to come...

3 other providers at this address

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About NPI 1669478210

Nicole E. Parker, PA-C's National Provider Identifier is 1669478210, issued on Jun 27, 2005. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Portland, OR. The record was last updated on May 19, 2016.