JACK J JORGENSON

SHORELINE, WA
NPI1922503168
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: WA  MD70005153)
Enumeration Date2018-03-29
Last Update Date2026-02-24
Business Address
JACK J JORGENSON MD
604 NW RICHMOND BEACH RD
SHORELINE, WA 98177-3122
Phone number: 206-533-2900
Mailing Address
JACK J JORGENSON MD
PO BOX 25608
SALT LAKE CITY, UT 84125-0608
Phone number: 206-320-4476
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