Provider Demographics
NPI:1235254731
Name:ZHANG, JIEYI (ND LAC)
Entity Type:Individual
Prefix:DR
First Name:JIEYI
Middle Name:
Last Name:ZHANG
Suffix:
Gender:F
Credentials:ND LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17949 S.W. TUALATIN VALLEY HWY
Mailing Address - Street 2:
Mailing Address - City:BEAVERTON
Mailing Address - State:OR
Mailing Address - Zip Code:97003
Mailing Address - Country:US
Mailing Address - Phone:503-649-8645
Mailing Address - Fax:803-649-5473
Practice Address - Street 1:17949 S.W. TUALATIN VALLEY HWY.
Practice Address - Street 2:
Practice Address - City:BEAVERTON
Practice Address - State:OR
Practice Address - Zip Code:97003
Practice Address - Country:US
Practice Address - Phone:503-649-8645
Practice Address - Fax:803-649-5473
Is Sole Proprietor?:No
Enumeration Date:2007-03-21
Last Update Date:2014-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORAC00669171100000X
OR1171175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
No171100000XOther Service ProvidersAcupuncturist