Individual
ANDREW JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1615 DELAWARE ST, LONGVIEW, WA 98632-2367
(360) 414-2000
(360) 414-7638
Mailing address
1526 LEGEND TRAIL DR UNIT A, LAWRENCE, KS 66047-2555
(503) 804-9498
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
43-557134-111
KS
367500000X
Certified Registered Nurse Anesthetist
Primary
AP60633494
WA
Other
Enumeration date
10/23/2012
Last updated
04/18/2023
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