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Tate Jorgensen

Community Health Worker in Bremerton, WA. Individual provider (NPI-1).

NPI number1982143111
StatusActive
Last updated in NPPESFeb 21, 2017

Details

NPI
1982143111
Entity type
Individual (NPI-1)
Name
Tate Jorgensen
Sex
Male
Sole proprietor
No
Enumeration date
Feb 21, 2017
Last updated
Feb 21, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
172V00000X Community Health Worker––Yes

Practice location

5455 Almira Dr Ne
Bremerton, WA 98311-8330

Phone 360-415-5870

Mailing address

5455 Almira Dr Ne
Bremerton, WA 98311-8330

Phone 360-415-5870

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