Healthcare Provider Details

I. General information

NPI: 1588586705
Provider Name (Legal Business Name): ZOE RENNER MD PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2026
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3715 S HUDSON ST STE 102
SEATTLE WA
98118-2171
US

IV. Provider business mailing address

522 W RIVERSIDE AVE
SPOKANE WA
99201-0580
US

V. Phone/Fax

Practice location:
  • Phone: 206-745-4758
  • Fax:
Mailing address:
  • Phone: 206-745-4758
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: ZOE RENNER
Title or Position: PSYCHIATRIST
Credential: MD
Phone: 510-407-1769