institution
Larry D Jensen Dpm Pc
Foot Surgery Podiatrist in Tigard, Oregon
NPI 1083991400

Larry D Jensen Dpm Pc is a Foot Surgery Podiatrist based in Tigard, OR and is specialized in Foot Surgery. Larry D Jensen Dpm Pc practices in Tigard, OR. The NPI Number for Larry D Jensen Dpm Pc is 1083991400 and holds a License No. DP00199 (Oregon).

The current practice location address for Larry D Jensen Dpm Pc is 11815 Sw King James Pl, Tigard, OR and can be reached out via phone at 503-639-8107 and via fax at 503-639-8108. You can also correspond with Larry D Jensen Dpm Pc through the mailing address at 11815 SW KING JAMES PL, TIGARD, OR - 97224-2478 (mailing address contact number: 503-639-8107).

Location: 11815 Sw King James Pl, Tigard, OR, 97224-2478
institution
Provider Profile Details
NPI Number
1083991400
Provider Name
Larry D Jensen Dpm Pc
Credential
Provider Entity Type
Organization
Address
11815 Sw King James Pl, Tigard, OR, 97224-2478
Phone Number
503-639-8107
Fax Number
503-639-8108
Provider Enumeration Date
11/14/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
500642371 05 OR
institution
Provider Business Practice Location Address Details
Address
11815 Sw King James Pl
City
State
Zip
97224-2478
Phone Number
503-639-8107
Fax Number
503-639-8108
person
Provider Business Mailing Address Details
Address
11815 Sw King James Pl
City
State
Zip
97224-2478
Phone Number
503-639-8107
Fax Number
503-639-8108
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot Surgery
Taxonomy
License No.
DP00199 (Oregon)
Definition
Definition to come...
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