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NPI Code Detail

MEDICARE: KOUROSH PARASTESH

MEDICARE: KOUROSH PARASTESH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice DentistryDENT.DE.70016665WA
2122300000XDentistDE70016665WA
3171R00000XInterpreterMA4305WA

General Provider Information

NPI Number : 1588235709
Entity Type Code : Individual
Provider Name (Legal Business Name) : KOUROSH PARASTESH
Provider Business Mailing Address
First Line : 955 POWELL AVE SW
Second Line :
City : RENTON
State : WA
Zip : 98057-2908
Country : US
Telephone Number : 425-277-1311
Fax Number : 425-277-1566
Provider Business Practice Location Address
First Line : 16200 116TH AVE SE
Second Line :
City : RENTON
State : WA
Zip : 98058-5200
Country : US
Telephone Number : 425-400-1899
Fax Number : 425-988-1248
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/08/2021
Last Update Date : 12/04/2025

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Directions to “ KOUROSH PARASTESH ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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