Healthcare Provider Details

I. General information

NPI: 1851002018
Provider Name (Legal Business Name): DR. JENNA ROMERO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/08/2022
Last Update Date: 11/12/2025
Certification Date: 11/12/2025
Deactivation Date: 10/07/2025
Reactivation Date: 10/30/2025

III. Provider practice location address

15215 SE 272ND ST STE 105
KENT WA
98042-9918
US

IV. Provider business mailing address

25810 203RD AVE SE
COVINGTON WA
98042-6182
US

V. Phone/Fax

Practice location:
  • Phone: 425-395-7542
  • Fax:
Mailing address:
  • Phone: 509-393-1119
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License NumberNT70056062
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: