LARRY CHARLES PARKER

BAKER CITY, OR
NPI1700224805
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  930569254)
Enumeration Date2013-06-11
Last Update Date2013-06-11
Business Address
Mr. LARRY CHARLES PARKER
3700 MIDWAY DR
BAKER CITY, OR 97814-1456
Phone number: 541-523-8320
Mailing Address
Mr. LARRY CHARLES PARKER
3700 MIDWAY DR
BAKER CITY, OR 97814-1456
Phone number: 541-523-8320