Doctor Name: | DR. BSHARON C JENSON |
NPI Number: | 1740239904 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | |
Business Practice Address: | 1717 13th St Ste 200 Everett, WA - 982011621 |
Business Phone Number: | 4252975597 |
Business Fax Number: | 4252975598 |
Mailing Address: | Po Box 84642, SEATTLE |
State: | WA |
Postal Code: | 981245942 |
Phone Number: | 4252975590 |
Fax Number: | 4252975595 |
NPI Enumeration Date: | 05/08/2006 |
NPI Last Update Date: | 07/09/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |