Provider Demographics
NPI:1396724605
Name:ASSAYAG, ZIPORA ORA (MS, CN)
Entity type:Individual
Prefix:
First Name:ZIPORA
Middle Name:ORA
Last Name:ASSAYAG
Suffix:
Gender:F
Credentials:MS, CN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3826 NE 75TH ST
Mailing Address - Street 2:#2
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98115-8019
Mailing Address - Country:US
Mailing Address - Phone:206-579-1143
Mailing Address - Fax:
Practice Address - Street 1:3826 NE 75TH ST
Practice Address - Street 2:#2
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98115-8019
Practice Address - Country:US
Practice Address - Phone:206-579-1143
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA133N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist