Healthcare Provider Details

I. General information

NPI: 1174138580
Provider Name (Legal Business Name): HONG ZHOU
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/11/2020
Last Update Date: 09/11/2020
Certification Date: 09/11/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10212 5TH AVE NE STE 140
SEATTLE WA
98125-7471
US

IV. Provider business mailing address

1718 22ND AVE S
SEATTLE WA
98144-4514
US

V. Phone/Fax

Practice location:
  • Phone: 206-440-1634
  • Fax:
Mailing address:
  • Phone: 630-550-7976
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number198000164
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: