Individual
CONNIE L. ZASTROW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1135 116TH AVE NE STE 305, BELLEVUE, WA 98004-4623
(425) 453-1772
Mailing address
PO BOX 190930, BOISE, ID 83719-0930
(208) 367-5170
(208) 367-5180
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
5771875
ID
2086S0129X
Vascular Surgery Physician
Primary
MD60150843
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0026ZA
REGENCE
WA
01
—
0262756
L&I AND CRIME VICTIMS
WA
05
—
1578547543
—
WA
Enumeration date
12/02/2005
Last updated
02/12/2026
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