Jensen, Keith Andrew

Jensen, Keith Andrew is an individual health care provider with primary practice located at 500 Sw Ramsey Ave , Grants Pass OR 97527. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Jensen, Keith Andrew can be contacted via phone (541) 472-7000.

Contact Information

Primary practice address
500 Sw Ramsey Ave Grants Pass OR 97527
Phone: (541) 472-7000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 780040202 Oregon

Profile Details

NPI number 1447389556
LBN Legal business name Jensen, Keith Andrew
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 5th, 2007
Last updated Jun 18th, 2013 - about 12 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 1447389556 NPPES
Oregon MEDICAID 062005

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