Basic Information
Provider Information
NPI: 1134293251
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: PARISH
FirstName: RUTH
MiddleName: ANN
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1424 BROADWAY
Address2:  
City: EVERETT
State: WA
PostalCode: 982011720
CountryCode: US
TelephoneNumber: 4257892000
FaxNumber: 4257892096
Practice Location
Address1: 1424 BROADWAY
Address2:  
City: EVERETT
State: WA
PostalCode: 982011720
CountryCode: US
TelephoneNumber: 4257892000
FaxNumber: 4257892096
Other Information
ProviderEnumerationDate: 11/20/2006
LastUpdateDate: 12/15/2014
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208000000XMD00019770WAY Allopathic & Osteopathic PhysiciansPediatrics 

No ID Information.


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