Active NPI
Summera Parco, PTA
- Health Educator
- Milwaukie, OR
National Provider Identifier
1649705401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Educator
- License
- P1 60735754
- Practice address
- 4560 SE International Way Ste 101
Milwaukie, OR 97222-4628 - Phone
- (971) 206-5202
- NPI assigned
- Apr 28, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Educator | 174H00000X | P1 60735754 | WA | Primary |
Addresses
Primary practice location
4560 SE International Way Ste 101
Milwaukie, OR 97222-4628
Mailing address
61 E Coon Dr N
Belfair, WA 98528-9197
Phone (619) 251-8197
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P1 60735754 | WA | MD | Health Educator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493337600000",
"number": "1649705401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "61 E COON DR N",
"city": "BELFAIR",
"state": "WA",
"postal_code": "985289197",
"telephone_number": "619-251-8197"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4560 SE INTERNATIONAL WAY STE 101",
"city": "MILWAUKIE",
"state": "OR",
"postal_code": "972224628",
"telephone_number": "971-206-5202"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARCO",
"first_name": "SUMMERA",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-28",
"last_updated": "2017-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": "WA",
"license": "P1 60735754",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Milwaukie, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.