Individual
JENSEN DOCKENDORF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
909 W MAIN ST STE 109, MONROE, WA 98272-2031
(425) 418-2434
Mailing address
5210 200TH ST NE, ARLINGTON, WA 98223-8710
(425) 870-2572
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP61514430
WA
Other
Enumeration date
01/02/2024
Last updated
01/05/2024
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