Eric H Jensen MD Inc

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

MD00008566 Issued in WA

Legal business name

ERIC H JENSEN MD INC

Practice address

1306 N 175TH St
Ste 111
Shoreline, WA 98133-5019

Phone

(206) 542-2149

Fax

(206) 542-4802

NPI assigned

Feb 16, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Eric Hougard Jensen, MD

Title

Sole Proprietor

Phone

(206) 542-2149

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1266278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266278400000",
    "number": "1508188632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1306 N 175TH ST",
            "address_2": "STE 111",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981335019",
            "telephone_number": "206-542-2149",
            "fax_number": "206-542-4802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1306 N 175TH ST",
            "address_2": "STE 111",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981335019",
            "telephone_number": "206-542-2149",
            "fax_number": "206-542-4802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC H JENSEN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-16",
        "last_updated": "2010-02-16",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "HOUGARD",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "206-542-2149",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "WA",
            "license": "MD00008566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Engel, MS, RD, CD
• Suzanne Engelberg, PHD
• Angela Marie Engels
• Joseph E Engman, DO
• River R Enselman, LMHCA, MHP, M.S., CN
• Eric J Lee DDS PS
• Eric S Yao, DDS, PLLC
• Dawn Marie Carmelita Escarcega, MSW
• Angelica Espindola
• Amy Espinoza

• Primary Care Clinic/Center in Shoreline, WA
• Providers in Shoreline, WA by specialty
• Primary Care Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.