Individual
DR. JENNIFER E JORGENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
820 N. CHELAN AVE., WENATCHEE, WA 98801-2028
(509) 663-8711
Mailing address
820 N. CHELAN AVE., WENATCHEE, WA 98801-2028
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301091389
MI
207R00000X
Internal Medicine Physician
MD00045512
WA
207RG0100X
Gastroenterology Physician
4301091389
MI
207RG0100X
Gastroenterology Physician
Primary
MD00045512
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0297869
L&I
WA
05
—
1366565855
—
WA
01
—
P01132197
RR MEDICARE
WA
Enumeration date
04/09/2007
Last updated
08/07/2013
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