person
Larry Dean Jensen, DPM
Foot Surgery Podiatrist in Tigard, Oregon
NPI 1851383269

Larry Dean Jensen is a Foot Surgery Podiatrist based in Tigard, OR and is specialized in Foot Surgery. Larry Dean Jensen practices in Tigard, OR and has the professional credentials of DPM. The NPI Number for Larry Dean Jensen is 1851383269 and holds a License No. DP00199 (Oregon).

The current practice location address for Larry Dean Jensen is 11815 Sw King James Place, Tigard, OR and can be reached out via phone at 503-639-8107 and via fax at 503-639-8108.

Location: 11815 Sw King James Place, Tigard, OR, 97224
person
Provider Profile Details
NPI Number
1851383269
Provider Name
Larry Dean Jensen
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
11815 Sw King James Place, Tigard, OR, 97224
Phone Number
503-639-8107
Fax Number
503-639-8108
Provider Enumeration Date
08/22/2005
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
000265 05 OR
institution
Provider Business Practice Location Address Details
Address
11815 Sw King James Place
City
State
Zip
97224
Phone Number
503-639-8107
Fax Number
503-639-8108
person
Provider Business Mailing Address Details
Address
11815 Sw King James Place
City
State
Zip
97224
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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