Jensen, Eric Richard

Jensen, Eric Richard is an individual health care provider with primary practice located at 2825 E. Barnett Rd , Medford OR 97504-8332. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as his primary health care specialty. Jensen, Eric Richard can be contacted via phone (541) 789-7000.

Contact Information

Primary practice address
2825 E. Barnett Rd Medford OR 97504-8332
Phone: (541) 789-7000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X MD23858 Oregon

Profile Details

NPI number 1700818697
LBN Legal business name Jensen, Eric Richard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2006
Last updated Oct 28th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700818697 NPPES
Oregon MEDICAID 286331

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