DR. Daniel Albert Jenisch SR., O.D
NPI #1528122405 in Forest Grove, Oregon
Provider Information
- NPI Number
- 1528122405
- Entity Type
- Individual
- Name
- DR. Daniel Albert Jenisch SR., O.D
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Optometrist
- Credential
- O.D
- Enumeration Date
- Dec 21, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 2701 MAIN ST
- Address 2
- APARTMENT # 91
- City
- Forest Grove
- State
- Oregon
- ZIP Code
- 97116-1449
- Phone
- (503) 357-6257
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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