Individual
KATHRYNN JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1740 COOKS HILL RD, CENTRALIA, WA 98531-9071
(971) 915-8579
(425) 970-4565
Mailing address
1793 13TH ST SE, SALEM, OR 97302-2541
(503) 362-8385
(503) 362-8435
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
61247639
WA
363A00000X
Physician Assistant
Primary
PA61247639
WA
Other
Enumeration date
07/29/2020
Last updated
06/10/2026
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