| Doctor Name: | JOSEPH ROY ZELK |
| NPI Number: | 1053468728 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DNP |
| License Number: | 20055006NP |
| Business Practice Address: | 10220 Sw Greenburg Rd. Suite 150 Tigard, OR - 972235529 |
| Business Phone Number: | 5032551200 |
| Business Fax Number: | 5034086856 |
| Mailing Address: | 10220 Sw Greenburg Rd., Suite 150 TIGARD |
| State: | OR |
| Postal Code: | 972235529 |
| Phone Number: | 5032551200 |
| Fax Number: | 5034086856 |
| NPI Enumeration Date: | 01/04/2007 |
| NPI Last Update Date: | 12/19/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 20055006NP |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OR |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |