Healthcare Provider Details

I. General information

NPI: 1689250698
Provider Name (Legal Business Name): WEIRAN ZHANG DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/20/2021
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4112 HARBOUR POINTE BLVD SW STE 100
MUKILTEO WA
98275-5457
US

IV. Provider business mailing address

4112 HARBOUR POINTE BLVD SW STE 100
MUKILTEO WA
98275-5457
US

V. Phone/Fax

Practice location:
  • Phone: 425-347-6330
  • Fax:
Mailing address:
  • Phone: 425-347-6330
  • Fax: 626-964-4720

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number20A22097
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberOP70068177
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: