Individual
DR. PAUL SCOTT JENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
112 PELLY AVE N, RENTON, WA 98057-5713
(425) 255-2020
(425) 255-2028
Mailing address
P.O. BOX 353, RENTON, WA 98057-0353
(425) 255-2020
(425) 255-2028
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1722TX
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2061467
—
WA
Enumeration date
06/30/2005
Last updated
07/16/2008
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