Healthcare Provider Details

I. General information

NPI: 1639205313
Provider Name (Legal Business Name): JAY ZHOU MEDICAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/26/2007
Last Update Date: 08/22/2020
Certification Date:
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

3521 NE 93RD ST
SEATTLE WA
98115-3663
US

V. Phone/Fax

Practice location:
  • Phone: 206-527-9937
  • Fax:
Mailing address:
  • Phone: 206-412-8678
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberMD00046227
License Number StateWA

VIII. Authorized Official

Name: JIEGANG ZHOU
Title or Position: PRESIDENT
Credential:
Phone: 206-412-8678