Individual
CORY JAMES JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
601 W FRANCIS AVE, SPOKANE, WA 99205-6699
(509) 326-2772
Mailing address
52031 EAGLE VIEW LN, FORD, WA 99013-9517
(509) 844-5605
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD60965247
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
JENSECJ102N2
DRIVER LICENSE
WA
Enumeration date
06/06/2019
Last updated
06/06/2019
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