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Jennifer R Hansen IV

Counselor in Puyallup, WA. Individual provider (NPI-1).

NPI number1427232016
StatusActive
Last updated in NPPESDec 19, 2007

Details

NPI
1427232016
Entity type
Individual (NPI-1)
Name
Jennifer R Hansen IV
Sex
Female
Sole proprietor
No
Enumeration date
Dec 19, 2007
Last updated
Dec 19, 2007

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101Y00000X CounselorRC00041345WAYes

Practice location

325 E Pioneer Ave
Puyallup, WA 98372-3265

Phone 253-697-8548 · Fax 253-697-8590

Mailing address

325 E Pioneer Ave
Puyallup, WA 98372-3265

Phone 253-697-8548 · Fax 253-697-8590

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Counselor providers in Puyallup, WA

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