Healthcare Provider Details

I. General information

NPI: 1922635465
Provider Name (Legal Business Name): ZACHARY D MILLS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/25/2020
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3726 BROADWAY STE 201
EVERETT WA
98201-3788
US

IV. Provider business mailing address

1728 W MARINE VIEW DR STE 110
EVERETT WA
98201-2094
US

V. Phone/Fax

Practice location:
  • Phone: 425-317-9119
  • Fax: 425-317-9118
Mailing address:
  • Phone: 425-259-4041
  • Fax: 425-317-9118

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberMD70026954
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code207XX0801X
TaxonomyOrthopaedic Trauma Physician
License NumberMD70026954
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: