Individual
BLISS JENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
707 W 13TH ST, VANCOUVER, WA 98660-2809
(360) 397-2211
Mailing address
707 W 13TH ST, VANCOUVER, WA 98660-2809
(360) 397-2211
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
60803265
WA
Other
Enumeration date
05/16/2018
Last updated
05/16/2018
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