Healthcare Provider Details

I. General information

NPI: 1790779650
Provider Name (Legal Business Name): KAREN CHRISTINE PARKER C.N.M
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KAREN PARKER LINN C.N.M.

II. Dates (important events)

Enumeration Date: 09/07/2005
Last Update Date: 08/10/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5050 NE HOYT ST SUITE 353
PORTLAND OR
97213-2991
US

IV. Provider business mailing address

847 NE 19TH AVE SUITE 300
PORTLAND OR
97232-2684
US

V. Phone/Fax

Practice location:
  • Phone: 503-239-6800
  • Fax: 503-239-0006
Mailing address:
  • Phone: 503-963-2801
  • Fax: 503-963-2825

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License Number89000486
License Number StateOR
# 2
Primary TaxonomyY
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License Number089000486N5
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: