Robert Josiah Jensen, | |
15324 Main St E, Sumner, WA 98390-2698 | |
(253) 830-4119 | |
Not Available |
Full Name | Robert Josiah Jensen |
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Gender | Male |
Speciality | Counselor |
Location | 15324 Main St E, Sumner, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609298991 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | LH60664658 (Washington) | Primary |
Entity Name | Grow Healthcare Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20221129001217 |
Mailing Address | Practice Location Address |
---|---|
Robert Josiah Jensen, 18806 58th St E, Lake Tapps, WA 98391-8805 Ph: (253) 830-4119 | Robert Josiah Jensen, 15324 Main St E, Sumner, WA 98390-2698 Ph: (253) 830-4119 |
Joseph T Ragland, CAAR Counselor Medicare: Not Enrolled in Medicare Practice Location: 1723 Bonney Ave, Sumner, WA 98390 Phone: 509-361-1302 | |
Shannon C King, MA LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 918 Alder Ave, Sumner, WA 98390 Phone: 253-227-3222 Fax: 253-891-1044 | |
Mrs. Lillian Ronda Bishop, MED Counselor Medicare: Not Enrolled in Medicare Practice Location: 1818 Main Street, Suite C, Sumner, WA 98390 Phone: 253-863-1997 Fax: 253-863-1997 | |
Mark A. Walrath, LMHC, CDP Counselor Medicare: Not Enrolled in Medicare Practice Location: 918 Alder Ave, Sumner, WA 98390 Phone: 253-891-2662 Fax: 253-891-1044 | |
Mrs. Linda Kay Walrath, CDP Counselor Medicare: Not Enrolled in Medicare Practice Location: 918 Alder Ave, Sumner, WA 98390 Phone: 253-891-2662 Fax: 253-891-1044 | |
Mrs. Alicia Culp, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1818 Main St Ste C, Sumner, WA 98390 Phone: 253-565-4484 Fax: 253-565-5823 |