Individual
DR. RYAN JOSEPH JENSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
325 9TH AVE, SEATTLE, WA 98104-2420
(206) 731-3059
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 543-6420
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD00045786
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8458663
—
WA
01
—
P00368279
RAILROAD MEDICARE
WA
Enumeration date
06/12/2006
Last updated
06/10/2008
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