Individual
DR. JENNIFER SPENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
35020 SE KINSEY ST STE A, SNOQUALMIE, WA 98065-8992
(425) 831-2300
(425) 396-7694
Mailing address
9801 FRONTIER AVE SE, SNOQUALMIE, WA 98065-5200
(425) 831-2300
(425) 396-7694
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00041585
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1001940
—
WA
01
—
G9057511
MEDICARE
—
01
—
MD00041585
WA LICENSE
WA
Enumeration date
07/26/2006
Last updated
12/13/2023
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