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Mrs. Jenna Marie Paulsen, CL61184592
Student in an Organized Health Care Education/Training Program in Camas, Washington
NPI 1538809595

Jenna Marie Paulsen is a Student in an Organized Health Care Education/Training Program based in Vancouver, WA. Jenna Marie Paulsen practices in Camas, WA and has the professional credentials of CL61184592. The NPI Number for Jenna Marie Paulsen is 1538809595 and holds a License No. (Washington).

The current practice location address for Jenna Marie Paulsen is 3400 Se 196Th Ave Ste 102, Camas, WA and can be reached out via phone at 360-975-0512.

Location: 3400 Se 196Th Ave Ste 102, Camas, WA, 98662-6347
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1538809595
Provider Name
Jenna Marie Paulsen
Credential
CL61184592
Provider Entity Type
Individual
Gender
Female
Address
3400 Se 196Th Ave Ste 102, Camas, WA, 98662-6347
Phone Number
360-975-0512
Fax Number
Provider Enumeration Date
03/29/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3400 Se 196Th Ave Ste 102
City
Camas
State
Washington
Zip
98607-8862
Phone Number
360-975-0512
Fax Number
person
Provider Business Mailing Address Details
Address
3400 Se 196Th Ave Ste 102
City
Camas
State
Washington
Zip
98607-8862
Phone Number
360-975-0512
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
(Oregon)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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