Healthcare Provider Details

I. General information

NPI: 1245086925
Provider Name (Legal Business Name): ZORIE ALIETA JONES MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/24/2024
Last Update Date: 08/05/2024
Certification Date: 08/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

125 16TH AVE E # CHS545
SEATTLE WA
98112-5211
US

IV. Provider business mailing address

125 16TH AVE E # CHS545
SEATTLE WA
98112-5211
US

V. Phone/Fax

Practice location:
  • Phone: 202-346-3000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License NumberML61553563
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberML61553563
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: