Provider Demographics
NPI:1609230333
Name:PARSLEY, GUENEVER (FNP, RN)
Entity Type:Individual
Prefix:
First Name:GUENEVER
Middle Name:
Last Name:PARSLEY
Suffix:
Gender:F
Credentials:FNP, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 4825
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97208-4825
Mailing Address - Country:US
Mailing Address - Phone:360-397-4040
Mailing Address - Fax:360-604-1770
Practice Address - Street 1:4500 SE COLUMBIA PALISADES DR
Practice Address - Street 2:
Practice Address - City:CAMAS
Practice Address - State:WA
Practice Address - Zip Code:98607-8444
Practice Address - Country:US
Practice Address - Phone:360-882-2778
Practice Address - Fax:360-604-1731
Is Sole Proprietor?:No
Enumeration Date:2016-04-08
Last Update Date:2023-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR201805183NP-PP363LF0000X
WAAP60869398363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily