=====================================================
General NPI Number Information
=====================================================
NPI Number | 1235254731
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | JIEYI ZHANG ND LAC
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/21/2007
-----------------------------------------------------
Last Update Date | 07/09/2014
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 17949 S.W. TUALATIN VALLEY HWY.
-----------------------------------------------------
City | BEAVERTON
-----------------------------------------------------
State | OR
-----------------------------------------------------
Zip | 97003
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 503-649-8645
-----------------------------------------------------
Fax | 803-649-5473
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 17949 S.W. TUALATIN VALLEY HWY
-----------------------------------------------------
City | BEAVERTON
-----------------------------------------------------
State | OR
-----------------------------------------------------
Zip | 97003
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 503-649-8645
-----------------------------------------------------
Fax | 803-649-5473
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 171100000X
-----------------------------------------------------
Taxonomy Name | Acupuncturist
-----------------------------------------------------
License Number | AC00669
-----------------------------------------------------
License Number State | OR
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 175F00000X
-----------------------------------------------------
Taxonomy Name | Naturopath
-----------------------------------------------------
License Number | 1171
-----------------------------------------------------
License Number State | OR
-----------------------------------------------------