MEDICARE: ZIRAN CHINESE MEDICINE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	302R00000X	Health Maintenance Organization	AC60054005	WA

General Provider Information

NPI Number	:	1144468000
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ZIRAN CHINESE MEDICINE

Provider Business Mailing Address
First Line	:	217 17TH AVE E
Second Line	:	APT. 5
City	:	SEATTLE
State	:	WA
Zip	:	98112-5249
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2206 QUEEN ANNE AVE N
Second Line	:	# 202
City	:	SEATTLE
State	:	WA
Zip	:	98109-2370
Country	:	US
Telephone Number	:	206-854-4376
Fax Number	:	206-219-0556

Authorized Official
Title or Position	:	OWNER
Name	:	CHARLES EDWARD PATTERSON
Credential	:	L.AC.
Telephone Number	:	206-854-4376

Provider Enumeration Date	:	01/30/2009
Last Update Date	:	07/17/2009

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Directions to “ZIRAN CHINESE MEDICINE ” Practice Location

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