Provider Demographics
NPI:1215905245
Name:ZEND, ALAN JONATHAN (DO)
Entity type:Individual
Prefix:
First Name:ALAN
Middle Name:JONATHAN
Last Name:ZEND
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7500 212TH ST SW
Mailing Address - Street 2:STE 201
Mailing Address - City:EDMONDS
Mailing Address - State:WA
Mailing Address - Zip Code:98026
Mailing Address - Country:US
Mailing Address - Phone:425-775-4437
Mailing Address - Fax:425-771-2554
Practice Address - Street 1:7500 212TH ST SW
Practice Address - Street 2:STE 201
Practice Address - City:EDMONDS
Practice Address - State:WA
Practice Address - Zip Code:98026
Practice Address - Country:US
Practice Address - Phone:425-775-4437
Practice Address - Fax:425-771-2554
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-08
Last Update Date:2018-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOP716207QA0401X, 208VP0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain Medicine
No207QA0401XAllopathic & Osteopathic PhysiciansFamily MedicineAddiction Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
E31794Medicare UPIN