MEDICARE: REBECCA L. PARRISH MD

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
1	207Q00000X	Family Medicine Physician	MD00040419	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1972604213
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REBECCA L. PARRISH MD

Provider Business Mailing Address
First Line	:	909 N BROADWAY
Second Line	:
City	:	EVERETT
State	:	WA
Zip	:	98201-1409
Country	:	US
Telephone Number	:	425-317-0279
Fax Number	:	425-317-0291

Provider Business Practice Location Address
First Line	:	4430 106TH ST SW
Second Line	:	SUITE 102
City	:	MUKILTEO
State	:	WA
Zip	:	98275-4711
Country	:	US
Telephone Number	:	425-347-6686
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/26/2006
Last Update Date	:	10/08/2020

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