MRS. JENNA MARIE PAULSEN CL61184592 NPI 1538809595

NPI Information

NPI: 1538809595
Provider Name: MRS. JENNA MARIE PAULSEN, CL61184592
Classification: Student in an Organized Health Care Education/Training Program - 390200000X
Entity Type: Individual
Address:
3400 SE 196TH AVE STE 102
CAMAS, WA
ZIP 98607
Phone: (360) 975-0512
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MRS. Jenna Marie Paulsen, CL61184592 is a student in an organized health care education training program in Camas, WA. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. MRS. Jenna Marie Paulsen, CL61184592 NPI is 1538809595. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3400 SE 196TH AVE STE 102
CAMAS, WA
ZIP 98607-862
Phone: (360) 975-0512

The enumeration date for this NPI number is 3/29/2022 and was last updated on 6/7/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health			No
2	390200000X	Student in an Organized Health Care Education/Training Program			OREGON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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