Parker, Kirk Joseph

Parker, Kirk Joseph is an individual health care provider with primary practice located at 1517 Sw Marlow Ave , Portland OR 97225-5101. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Parker, Kirk Joseph can be contacted via phone (503) 292-5221.

Contact Information

Primary practice address
1517 Sw Marlow Ave Portland OR 97225-5101
Phone: (503) 292-5221
Fax: (503) 297-3937
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1936ATI Oregon

Profile Details

NPI number 1457319725
LBN Legal business name Parker, Kirk Joseph
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2006
Last updated Nov 21st, 2007 - about 19 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 1457319725 NPPES
Other 891185001 BLUE CROSS

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