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NPI Code Detail

MEDICARE: BRIAN DONALD PARKER

MEDICARE: BRIAN DONALD PARKER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist

General Provider Information

NPI Number : 1053296681
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIAN DONALD PARKER
Provider Business Mailing Address
First Line : 16083 SW UPPER BOONES FERRY RD
Second Line :
City : PORTLAND
State : OR
Zip : 97224-7736
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8324 SE 17TH AVE
Second Line :
City : PORTLAND
State : OR
Zip : 97202-7307
Country : US
Telephone Number : 503-206-8206
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/11/2025
Last Update Date : 08/11/2025

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Directions to “ BRIAN DONALD PARKER ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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