Eric H Jensen MD INC

NPI #1508188632 in Shoreline, Washington

Provider Information

NPI Number: 1508188632
Entity Type: Organization
Organization Name: Eric H Jensen MD INC
Primary Specialty: Clinic/Center - Primary Care
Enumeration Date: Feb 16, 2010
Last Updated: Feb 16, 2010

Practice Location

Address: 1306 N 175TH ST
Address 2: STE 111
City: Shoreline
State: Washington
ZIP Code: 98133-5019
Phone: (206) 542-2149

Authorized Official

Name: ERIC HOUGARD JENSEN, MD
Title: SOLE PROPRIETOR
Phone: (206) 542-2149

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Primary Care — Primary Care	261QP2300X	Primary

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