Healthcare Provider Details

I. General information

NPI: 1841774924
Provider Name (Legal Business Name): ZHEN ZENG
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/24/2018
Last Update Date: 04/22/2022
Certification Date: 04/22/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1920 100TH ST SE STE B
EVERETT WA
98208-3832
US

IV. Provider business mailing address

1040 S HENDERSON ST
SEATTLE WA
98108-4720
US

V. Phone/Fax

Practice location:
  • Phone: 425-312-0202
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSC60998663
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberSC60998663
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: