Individual provider · Type 1 NPI
Matthew Olaf Jensen, DC
Chiropractor · Renton, WA
NPI number
1063645463
Active
Practice location
801 S 3rd St Ste D
Renton, WA 98057-2799
Fax (206) 202-2611
Mailing address
6215 Phinney Ave N Apt 106
Seattle, WA 98103-5500
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | CH 60153882 (WA) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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About NPI 1063645463
Matthew Olaf Jensen, DC's National Provider Identifier is 1063645463, issued on Sep 1, 2009. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Renton, WA. The record was last updated on Oct 21, 2011.