MEDICARE: JAY ZHOU MEDICAL CORPORATION

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	171100000X	Acupuncturist	MD00046227	WA

General Provider Information

NPI Number	:	1639205313
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JAY ZHOU MEDICAL CORPORATION

Provider Business Mailing Address
First Line	:	3521 NE 93RD ST
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98115-3663
Country	:	US
Telephone Number	:	206-412-8678
Fax Number	:

Provider Business Practice Location Address
First Line	:	10212 5TH AVE NE STE 140
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98125-7471
Country	:	US
Telephone Number	:	206-527-9937
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JIEGANG ZHOU
Credential	:
Telephone Number	:	206-412-8678

Provider Enumeration Date	:	02/26/2007
Last Update Date	:	08/22/2020

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