Provider Demographics
NPI:1043599210
Name:PARINE, RACHEL A (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:A
Last Name:PARINE
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MS
Other - First Name:RACHEL
Other - Middle Name:A
Other - Last Name:HANSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:1229 MADISON ST. #1480
Mailing Address - Street 2:SKIN SURGERY CENTER
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98104
Mailing Address - Country:US
Mailing Address - Phone:206-346-6647
Mailing Address - Fax:206-346-6022
Practice Address - Street 1:1229 MADISON ST. #1480
Practice Address - Street 2:SKIN SURGERY CENTER
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98104
Practice Address - Country:US
Practice Address - Phone:206-346-6647
Practice Address - Fax:206-346-6022
Is Sole Proprietor?:No
Enumeration Date:2011-08-05
Last Update Date:2016-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAEMT.ES.600024559363A00000X
363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant