Organization
ERIC H JENSEN MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC HOUGARD JENSEN MD (SOLE PROPRIETOR)
(206) 542-2149
Entity
Organization
Contact information
Practice address
1306 N 175TH ST, STE 111, SHORELINE, WA 98133-5019
(206) 542-2149
(206) 542-4802
Mailing address
1306 N 175TH ST, STE 111, SHORELINE, WA 98133-5019
(206) 542-2149
(206) 542-4802
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
MD00008566
WA
Other
Enumeration date
02/16/2010
Last updated
02/16/2010
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