Individual
DR. JENNIFER BETH YOUNGGREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
407 14TH AVE SE, PUYALLUP, WA 98372-3770
(253) 848-6661
(253) 770-5990
Mailing address
3716 OLYMPIC BLVD W, UNIVERSITY PLACE, WA 98466-1412
(253) 460-2637
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD00041203
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8378473
—
WA
Enumeration date
06/18/2006
Last updated
03/07/2008
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