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Ethan Parker

NPI 1912826363 · on the registry since 2026 · sole proprietor

Practice

Address
10625 Se 362nd Ave Unit B4
Boring, OR 97009
Phone
(971) 314-2900
Organisation at this address
Medexa Llc
Medovia Llc
Medarian Llc
Medarian Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
183700000X
183700000X
Also registered as
247200000X
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-07-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon