Healthcare Provider Details

I. General information

NPI: 1639464548
Provider Name (Legal Business Name): JANET K SENNING R.PH.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/20/2011
Last Update Date: 06/20/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16200 SE MILL PLAIN BLVD T-1444
VANCOUVER WA
98684-9638
US

IV. Provider business mailing address

16200 SE MILL PLAIN BLVD T-1444
VANCOUVER WA
98684-9638
US

V. Phone/Fax

Practice location:
  • Phone: 360-449-6425
  • Fax: 360-449-6425
Mailing address:
  • Phone: 360-449-6425
  • Fax: 360-449-6425

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPH00011302
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: