Organization
JENSEN MEDICAL
Active
Other names
SOUND MOBILITY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRUCE TIMOTHY JENSEN (OWNER)
(360) 881-0395
Entity
Organization
Contact information
Practice address
26129 CALVARY LN NE, SUITE 200, KINGSTON, WA 98346-7404
(360) 881-0395
(360) 297-7772
Mailing address
26129 CALVARY LN NE, SUITE 200, KINGSTON, WA 98346-7404
(360) 881-0395
(360) 297-7772
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
602049582
WA
332BC3200X
Customized Equipment (DME)
Primary
602049582
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1437108834
NPI
—
05
—
9049206
—
WA
Enumeration date
01/22/2008
Last updated
12/27/2016
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