Healthcare Provider Details

I. General information

NPI: 1639098056
Provider Name (Legal Business Name): PARISA SHIRZAI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/10/2026
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29415 21ST PL S APT M3
FEDERAL WAY WA
98003-3914
US

IV. Provider business mailing address

29415 21ST PL S APT M3
FEDERAL WAY WA
98003-3914
US

V. Phone/Fax

Practice location:
  • Phone: 206-670-8633
  • Fax:
Mailing address:
  • Phone: 206-670-8633
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: