Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | ML20008655 | WA |
NPI | 1003037037 |
---|---|
Provider Name | Dr. Gregory Parada |
First Address | Seattle, WA 98106 |
Second Address | Seattle, WA 98108 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/05/2007 |
Last Update Date | 27/02/2021 |