Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207QA0401X | Family Doctor - Addiction Medicine | OP716 | WA |
NPI | 1215905245 |
---|---|
Provider Name | Alan Jonathan Zend |
First Address | Edmonds, WA 98026 |
Second Address | Edmonds, WA 98026 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/03/2006 |
Last Update Date | 02/11/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E31794 | (02) |