Individual
JOHN JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9040 JACKSON AVE, TACOMA, WA 98431-0001
(253) 968-2820
Mailing address
9040 JACKSON AVE, TACOMA, WA 98431-0001
(253) 968-4986
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
02007316A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/21/2021
Last updated
08/04/2023
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