Healthcare Provider Details

I. General information

NPI: 1497676233
Provider Name (Legal Business Name): LUIS DONALDO OCHOA ZAPIEN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: LUIS DONALDO OCHOA

II. Dates (important events)

Enumeration Date: 07/24/2026
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

805 MADISON ST STE 702
SEATTLE WA
98104-2099
US

IV. Provider business mailing address

952 SW CAMPUS DR APT 47D1
FEDERAL WAY WA
98023-5041
US

V. Phone/Fax

Practice location:
  • Phone: 206-622-3565
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPHRM.PH.70115087
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: