Provider Demographics
NPI:1427599810
Name:ZHANG, JENNY (ND, LAC)
Entity Type:Individual
Prefix:
First Name:JENNY
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 1:16003 ADMIRALTY WAY APT D601
Mailing Address - Street 2:
Mailing Address - City:LYNNWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98087-6581
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3204 SMOKEY POINT DR STE 102
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:WA
Practice Address - Zip Code:98223-8476
Practice Address - Country:US
Practice Address - Phone:360-436-6303
Practice Address - Fax:360-633-3637
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-17
Last Update Date:2024-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MZ00126000171100000X
WANT61360417175F00000X
WAAC60939878171100000X
NY005940171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
No171100000XOther Service ProvidersAcupuncturist