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1568247179
LISA JAN PARKER
PORTLAND, OR
NPI
1568247179
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OR 10007643)
Enumeration Date
2023-08-30
Last Update Date
2023-08-30
Business Address
LISA JAN PARKER Nurse Practitioner
6935 N CAMPBELL AVE
PORTLAND, OR 97217-5324
Phone number: 541-517-2347
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Mailing Address
LISA JAN PARKER Nurse Practitioner
PO BOX 17506
PORTLAND, OR 97217-0506
Phone number: 541-517-2347
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