Provider Demographics
NPI:1184636227
Name:PARISI, MELISSA ANN (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:MELISSA
Middle Name:ANN
Last Name:PARISI
Suffix:
Gender:F
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4800 SAND POINT WAY NE # M2-9
Mailing Address - Street 2:CHILDREN'S HOSPITAL AND REGIONAL MEDICAL CENTER
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98105-3901
Mailing Address - Country:US
Mailing Address - Phone:206-987-2689
Mailing Address - Fax:206-987-2495
Practice Address - Street 1:4800 SAND POINT WAY NE # M2-9
Practice Address - Street 2:CHILDREN'S HOSPITAL AND REGIONAL MEDICAL CENTER
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98105-3901
Practice Address - Country:US
Practice Address - Phone:206-987-2689
Practice Address - Fax:206-987-2495
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WAMD00035513207SG0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207SG0201XAllopathic & Osteopathic PhysiciansMedical GeneticsClinical Genetics (M.D.)
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA8212813Medicaid
WA8212813Medicaid
WAG72637Medicare UPIN