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General NPI Number Information
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NPI Number | 1649206566
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Entity Type | Individual
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Provider Name | RICKY L. PARRISH PA-C
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Gender | Male
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Dates
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Enumeration Date | 06/23/2006
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Last Update Date | 06/10/2025
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Provider Practice Location Address
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Address Line | 3400 COOPERATIVE WAY
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City | LEBANON
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State | OR
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Zip | 97355-4063
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Country | US
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Telephone | 541-666-3305
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Fax | 541-666-3306
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Provider Business Mailing Address
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Address Line | PO BOX 1193
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City | CORVALLIS
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State | OR
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Zip | 97339-1193
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA00795
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License Number State | OR
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