Provider Demographics
NPI:1427563105
Name:PARZYNSKI, TATIANA ZOELLE (ND)
Entity Type:Individual
Prefix:DR
First Name:TATIANA
Middle Name:ZOELLE
Last Name:PARZYNSKI
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:TATIANA
Other - Middle Name:N
Other - Last Name:GORBACHEVA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ND
Mailing Address - Street 1:6640 E BURNSIDE ST
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97215-1358
Mailing Address - Country:US
Mailing Address - Phone:971-236-3558
Mailing Address - Fax:
Practice Address - Street 1:1785 NE SANDY BLVD STE 290
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97232-2791
Practice Address - Country:US
Practice Address - Phone:503-442-9648
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-12-04
Last Update Date:2018-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR4137175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath