Individual
JENNIFER G ENGSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11603 STATE AVE, STE G, MARYSVILLE, WA 98271-8465
(360) 658-6800
(360) 658-6819
Mailing address
PO BOX 3360, PORTLAND, OR 97208-3360
(866) 366-2983
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD60021576
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD60021576
WSL
WA
Enumeration date
07/07/2008
Last updated
05/18/2021
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