Healthcare Provider Details

I. General information

NPI: 1003835976
Provider Name (Legal Business Name): LAURA PARKER MFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/19/2006
Last Update Date: 03/28/2025
Certification Date: 03/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 WASHINGTON ST
EUGENE OR
97401-3419
US

IV. Provider business mailing address

2015 PIERCE ST
EUGENE OR
97405-1620
US

V. Phone/Fax

Practice location:
  • Phone: 510-384-5995
  • Fax:
Mailing address:
  • Phone: 510-384-5995
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberT2279
License Number StateOR
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMFC37654
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: