Individual
MS. JENNIFER REBECCA JORGENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
12811 SE 38TH ST, BELLEVUE, WA 98006-1326
(425) 378-1800
(425) 746-1587
Mailing address
12811 SE 38TH ST, BELLEVUE, WA 98006-1326
(425) 378-1800
(425) 746-1587
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
MA16530
WA
Other
Enumeration date
03/21/2008
Last updated
03/21/2008
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