| Organization Name: | JOSEPH LEHIGH JENSEN III |
| NPI Number: | 1265568349 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BEVERLEY C JENSEN (MANAGER) |
| Mailing Address: | 541 Second Ave Twisp |
| State: | WA US |
| Postal Code: | 988561069 |
| Phone Number: | 5099972011 |
| Fax Number: | 5099972034 |
| NPI Enumeration Date: | 02/26/2007 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR1300X |
| License Number: | MD00013844 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rural Health |
| Taxonomy Definition: | |