Individual
DR. MARK J JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
22530 SE 64TH PL, STE 140, ISSAQUAH, WA 98027-5353
(425) 392-2020
(425) 392-1657
Mailing address
22530 SE 64TH PL, STE 140, ISSAQUAH, WA 98027-5353
(425) 392-2020
(425) 392-1657
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1820
WA
Other
Enumeration date
11/04/2005
Last updated
05/13/2009
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