Provider Demographics
NPI:1154505535
Name:JAY ZHOU MEDICAL CORPORATION
Entity Type:Organization
Organization Name:JAY ZHOU MEDICAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JAY
Authorized Official - Middle Name:YANG
Authorized Official - Last Name:ZHOU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:206-331-4005
Mailing Address - Street 1:3521 NE 93RD ST
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98115-3663
Mailing Address - Country:US
Mailing Address - Phone:206-331-4005
Mailing Address - Fax:206-331-4005
Practice Address - Street 1:1400 S JACKSON ST STE 24
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98144-2096
Practice Address - Country:US
Practice Address - Phone:206-568-8577
Practice Address - Fax:206-568-3385
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-21
Last Update Date:2007-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00046227261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center