Provider Demographics
NPI:1417603739
Name:J E PARALES MEDICAL PLLC
Entity Type:Organization
Organization Name:J E PARALES MEDICAL PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:JELYN
Authorized Official - Last Name:ENGELHARDT-PARALES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:253-921-8109
Mailing Address - Street 1:4936 40TH ST NE
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98422-3028
Mailing Address - Country:US
Mailing Address - Phone:253-921-8109
Mailing Address - Fax:
Practice Address - Street 1:3716 PACIFIC AVE STE D
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98418-7836
Practice Address - Country:US
Practice Address - Phone:253-474-7719
Practice Address - Fax:253-471-8592
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-24
Last Update Date:2022-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Multi-Specialty