Parker, Nicole E.

Parker, Nicole E. is an individual health care provider with primary practice located at 1040 Nw 22Nd Ave Ste 660 , Portland OR 97210-3083. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Parker, Nicole E. can be contacted via phone (503) 413-7162.

Contact Information

Primary practice address
1040 Nw 22Nd Ave Ste 660 Portland OR 97210-3083
Phone: (503) 413-7162
Fax: (503) 413-7148
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA00794 Oregon

Profile Details

NPI number 1669478210
LBN Legal business name Parker, Nicole E.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2005
Last updated May 19th, 2016 - about 10 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 1669478210 NPPES
Oregon MEDICAID 227036

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