Individual
DR. FREDERICK A. JENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
402 BLACK HILLS LN SW, SUITE D, OLYMPIA, WA 98502-8145
(360) 754-7881
(360) 357-4974
Mailing address
402 BLACK HILLS LN SW, SUITE D, OLYMPIA, WA 98502-8145
(360) 754-7881
(360) 357-4974
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD00028618
WA
Other
Enumeration date
09/26/2006
Last updated
07/08/2007
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