Liisa Elina Durchman, MD

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

MD60000894 Issued in WA

Practice address

10634 E Riverside Dr Ste 130
Bothell, WA 98011-3758

Phone

(206) 934-9110

Fax

(844) 961-0333

NPI assigned

Aug 24, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Dr. Elina Durchman Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pan Pacific Health PPLC

  dba Pan Pacific Health

  • Psychiatry Physician
  • Bothell, WA
  • NPI 1669938536
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604966400000",
    "number": "1891802146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 3RD ST",
            "city": "MUKILTEO",
            "state": "WA",
            "postal_code": "982751551",
            "telephone_number": "206-484-7701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10634 E RIVERSIDE DR STE 130",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980113758",
            "telephone_number": "206-934-9110",
            "fax_number": "844-961-0333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURCHMAN",
        "first_name": "LIISA",
        "middle_name": "ELINA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-24",
        "last_updated": "2020-11-10",
        "certification_date": "2020-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "WA",
            "license": "MD60000894",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WA",
            "license": "MD60000894",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELINA",
            "last_name": "DURCHMAN",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Victoria Joanne Duncombe, RN, MSN
• Rosemarie Dunlop
• John B. Dunn, M.D.
• Mackenzie Lee Dunn
• Gabrielle Olivia Duran
• Yeondo Durst, LMP
• Jana Dvorak, LMP
• Sally Dykeman, OT
• Ashley Lee-Ann Dykstra, LMP
• Dynacare Northwest Inc

• Child & Adolescent Psychiatry Physician in Bothell, WA
• Providers in Bothell, WA by specialty
• Child & Adolescent Psychiatry Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.