Provider Demographics
NPI:1922342468
Name:CHENG, CHIA CHIA ZOU (LAC)
Entity Type:Individual
Prefix:MS
First Name:CHIA CHIA
Middle Name:ZOU
Last Name:CHENG
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9860 SW HALL BLVD STE A
Mailing Address - Street 2:
Mailing Address - City:TIGARD
Mailing Address - State:OR
Mailing Address - Zip Code:97223-8896
Mailing Address - Country:US
Mailing Address - Phone:503-885-7600
Mailing Address - Fax:
Practice Address - Street 1:9860 SW HALL BLVD STE A
Practice Address - Street 2:
Practice Address - City:TIGARD
Practice Address - State:OR
Practice Address - Zip Code:97223-8896
Practice Address - Country:US
Practice Address - Phone:503-885-7600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-21
Last Update Date:2014-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORAC00591171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist