Basic Information
Provider Information
NPI: 1093891913
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: PARINS
FirstName: ELIZABETH
MiddleName: KIRSTEN
NamePrefix: DR.
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: BROWDER
OtherFirstName: ELIZABETH
OtherMiddleName: KIRSTEN
OtherNamePrefix: MRS.
OtherNameSuffix:  
OtherCredential: PSYD
OtherLastNameType: 1
Mailing Information
Address1: 9040 REID ST
Address2: MAMC ATTN: MCHJ-QCR
City: TACOMA
State: WA
PostalCode: 984311100
CountryCode: US
TelephoneNumber: 2539682252
FaxNumber: 2539683278
Practice Location
Address1: 9040 REID ST
Address2: MAMC ATTN: MCHJ-QCR
City: TACOMA
State: WA
PostalCode: 984311100
CountryCode: US
TelephoneNumber: 2539682252
FaxNumber: 2539683278
Other Information
ProviderEnumerationDate: 10/31/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
103TC0700X016938NYY Behavioral Health & Social Service ProvidersPsychologistClinical

No ID Information.


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