DANIEL ALBERT JENISCH

FOREST GROVE, OR
NPI1528122405
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy152W00000X Optometrist
(Licence: WA  2056)
Enumeration Date2006-12-21
Last Update Date2007-07-08
Business Address
Dr. DANIEL ALBERT JENISCH O.D
2701 MAIN ST APARTMENT # 91
FOREST GROVE, OR 97116-1449
Phone number: 503-357-6257
Mailing Address
Dr. DANIEL ALBERT JENISCH O.D
2701 MAIN ST APARTMENT # 91
FOREST GROVE, OR 97116-1449
Phone number: 503-357-6257
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