Healthcare Provider Details

I. General information

NPI: 1194089193
Provider Name (Legal Business Name): GORDON ZHANG MA, LMFTA, MHP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/25/2012
Last Update Date: 01/06/2026
Certification Date: 01/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1920 100TH ST SE
EVERETT WA
98208-3832
US

IV. Provider business mailing address

3611 173RD PL SW
LYNNWOOD WA
98037-7536
US

V. Phone/Fax

Practice location:
  • Phone: 425-341-2172
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberLF60950514
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: