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Bruce T Jensen
Durable Medical Equipment & Medical Supplies in Kingston, Washington
NPI 1437108834

Bruce T Jensen is a Durable Medical Equipment & Medical Supplies based in Port Gamble, WA. Bruce T Jensen practices in Kingston, WA. The NPI Number for Bruce T Jensen is 1437108834 and holds a License No. 602049582 (Washington).

The current practice location address for Bruce T Jensen is 26129 Calvary Ln Ne, Kingston, WA and can be reached out via phone at 360-437-0331 and via fax at 360-297-7772.

Location: 26129 Calvary Ln Ne, Kingston, WA, 98364-0134
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1437108834
Provider Name
Bruce T Jensen
Credential
Provider Entity Type
Individual
Gender
Male
Address
26129 Calvary Ln Ne, Kingston, WA, 98364-0134
Phone Number
360-437-0331
Fax Number
360-297-7772
Provider Enumeration Date
05/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1225215288 01 WA NPI
9049206 05 WA
institution
Provider Business Practice Location Address Details
Address
26129 Calvary Ln Ne
City
Kingston
State
Washington
Zip
98346-7404
Phone Number
360-437-0331
Fax Number
360-297-7772
person
Provider Business Mailing Address Details
Address
26129 Calvary Ln Ne
City
Kingston
State
Washington
Zip
98346-7404
Phone Number
360-437-0331
Fax Number
360-297-7772
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
602049582 (Washington)
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
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