Organization
ADULTCARE OF RENTON
Active
Other names
Passport Health W. Washington
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA B JENSEN ARNP (CLINICAL DIRECTOR)
(425) 251-0205
Entity
Organization
Contact information
Practice address
3900 E VALLEY RD, STE 101, RENTON, WA 98055-4954
(425) 251-0205
Mailing address
3900 E VALLEY RD, STE 101, RENTON, WA 98055-4954
(425) 251-0205
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
602164615
WA
Other
Enumeration date
04/04/2007
Last updated
06/16/2008
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