Basic Information
| Provider Information | |||||||||
| NPI: | 1255772406 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | PARMAR | ||||||||
| FirstName: | JASANJOT | ||||||||
| MiddleName: | JENNY | ||||||||
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| Credential: | DO | ||||||||
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| Mailing Information | |||||||||
| Address1: | 326 S STILLAGUAMISH AVE | ||||||||
| Address2: | |||||||||
| City: | ARLINGTON | ||||||||
| State: | WA | ||||||||
| PostalCode: | 982231652 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3605725400 | ||||||||
| FaxNumber: | 3605725401 | ||||||||
| Practice Location | |||||||||
| Address1: | 326 S STILLAGUAMISH AVE | ||||||||
| Address2: | |||||||||
| City: | ARLINGTON | ||||||||
| State: | WA | ||||||||
| PostalCode: | 982231652 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3605725400 | ||||||||
| FaxNumber: | 3605725401 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/16/2013 | ||||||||
| LastUpdateDate: | 08/10/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | OP60638536 | WA | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.