Jensen, James Waldemar

Jensen, James Waldemar is an individual health care provider with primary practice located at 342 Fairview St , Silverton OR 97381-1917. He recently has 3 registered licenses in different health care specialties including Emergency Medical Service Providers / Personal Emergency Response Attendant, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Jensen, James Waldemar can be contacted via phone (503) 873-1690.

Contact Information

Primary practice address
342 Fairview St Silverton OR 97381-1917
Phone: (503) 873-1690
Fax: (503) 873-1656
Website:
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Health care specialties

SpecialtyCodeLicense #State
Emergency Medical Service Providers / Personal Emergency Response Attendant 146D00000X MD23279 Oregon
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD23279 Oregon
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD23279 Oregon

Profile Details

NPI number 1194926485
LBN Legal business name Jensen, James Waldemar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2007
Last updated Mar 7th, 2023 - about 2 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 1194926485 NPPES
Oregon MEDICAID 287432

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