Provider Demographics
NPI:1083881908
Name:ZENGER, ERIK S (PAC)
Entity Type:Individual
Prefix:MR
First Name:ERIK
Middle Name:S
Last Name:ZENGER
Suffix:
Gender:M
Credentials:PAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1600 116TH AVE NE
Mailing Address - Street 2:SUITE 306
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98004-3014
Mailing Address - Country:US
Mailing Address - Phone:425-455-5111
Mailing Address - Fax:425-455-5113
Practice Address - Street 1:1600 116TH AVE NE
Practice Address - Street 2:SUITE 306
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98004-3014
Practice Address - Country:US
Practice Address - Phone:425-455-5111
Practice Address - Fax:425-455-5113
Is Sole Proprietor?:No
Enumeration Date:2008-05-09
Last Update Date:2016-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60133645363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant