Individual
DR. RICHARD FREDERICK JENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
7922 OLYMPIC VIEW DR NW, GIG HARBOR, WA 98335-6275
(253) 358-6640
(253) 851-3188
Mailing address
7922 OLYMPIC VIEW DR NW, GIG HARBOR, WA 98335-6275
(253) 358-6640
(253) 851-3188
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY00000987
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7017544
—
WA
01
—
G001001904
MEDICARE PTAN
—
Enumeration date
09/16/2006
Last updated
03/24/2021
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