Provider Demographics
NPI:1275390528
Name:MARILYN PARKER-CULLEN
Entity Type:Organization
Organization Name:MARILYN PARKER-CULLEN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICAL
Authorized Official - Prefix:MS
Authorized Official - First Name:MARILYN
Authorized Official - Middle Name:
Authorized Official - Last Name:PARKER-CULLEN
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-C
Authorized Official - Phone:541-408-0325
Mailing Address - Street 1:2546 NE CONNERS AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97701-6761
Mailing Address - Country:US
Mailing Address - Phone:541-322-1794
Mailing Address - Fax:541-749-2126
Practice Address - Street 1:2546 NE CONNERS AVE STE 200
Practice Address - Street 2:
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97701-6761
Practice Address - Country:US
Practice Address - Phone:541-322-1794
Practice Address - Fax:541-749-2126
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-04
Last Update Date:2024-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty