Provider Demographics
NPI:1205410263
Name:ZENT, JARED RICHARD (DC)
Entity Type:Individual
Prefix:
First Name:JARED
Middle Name:RICHARD
Last Name:ZENT
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19122 BEARDSLEE BLVD UNIT 105
Mailing Address - Street 2:
Mailing Address - City:BOTHELL
Mailing Address - State:WA
Mailing Address - Zip Code:98011-0200
Mailing Address - Country:US
Mailing Address - Phone:425-381-4460
Mailing Address - Fax:
Practice Address - Street 1:19122 BEARDSLEE BLVD UNIT 105
Practice Address - Street 2:
Practice Address - City:BOTHELL
Practice Address - State:WA
Practice Address - Zip Code:98011-0200
Practice Address - Country:US
Practice Address - Phone:425-381-4460
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-06
Last Update Date:2021-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX14724111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor