Parker, Lisa M

Parker, Lisa M is an sole proprietor health care provider with primary practice located at 1515 Village Dr , Cottage Grove OR 97424. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Parker, Lisa M can be contacted via phone (541) 767-5200.

Contact Information

Primary practice address
1515 Village Dr Cottage Grove OR 97424
Phone: (541) 767-5200
Fax: (541) 767-5399
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R852821 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 201502986NP-PP Oregon

Profile Details

NPI number 1831422336
LBN Legal business name Parker, Lisa M
Credentials FNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 15th, 2009
Last updated Sep 13th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831422336 NPPES
Mississippi MEDICAID 08657850
Mississippi Other 12027545

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