MEDICARE: ZIPORA ORA ASSAYAG M.S., C.N.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133N00000X	Nutritionist		WA

General Provider Information

NPI Number	:	1396724605
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ZIPORA ORA ASSAYAG M.S., C.N.

Provider Business Mailing Address
First Line	:	3826 NE 75TH ST
Second Line	:	#2
City	:	SEATTLE
State	:	WA
Zip	:	98115-8019
Country	:	US
Telephone Number	:	206-579-1143
Fax Number	:

Provider Business Practice Location Address
First Line	:	3826 NE 75TH ST
Second Line	:	#2
City	:	SEATTLE
State	:	WA
Zip	:	98115-8019
Country	:	US
Telephone Number	:	206-579-1143
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/13/2006
Last Update Date	:	07/08/2007

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