Individual
ANGELA RENEE JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
463 TREMONT ST W STE 110, PORT ORCHARD, WA 98366-3743
(253) 851-0007
Mailing address
3726 BEACH DR SW APT A, SEATTLE, WA 98116-3017
(509) 714-2219
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLPI.SI.61101605
WA
Other
Enumeration date
10/13/2020
Last updated
10/13/2020
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