MEDICARE: MICHELLE DIANE ZIPPERMAN M.D.

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	2084P0800X	Psychiatry Physician	106735	CA
2	2084P0800X	Psychiatry Physician	60147234	WA

General Provider Information

NPI Number	:	1669677134
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELLE DIANE ZIPPERMAN M.D.

Provider Business Mailing Address
First Line	:	3417 EVANSTON AVE N STE 320
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98103-8967
Country	:	US
Telephone Number	:	206-914-9254
Fax Number	:	425-223-5240

Provider Business Practice Location Address
First Line	:	3417 EVANSTON AVE N STE 320
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98103-8967
Country	:	US
Telephone Number	:	206-914-9254
Fax Number	:	425-223-5240

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

Provider Enumeration Date	:	06/15/2007
Last Update Date	:	08/06/2025

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