Larry D Jensen Dpm Pc

LBN: Larry D Jensen Dpm Pc
Larry D Jensen Dpm Pc is an health care organization with primary practice located at 11815 Sw King James Pl Suite 60, Tigard OR 97224-2478. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as the primary health care specialty. Larry D Jensen Dpm Pc can be contacted via phone (503) 639-8107, or through Jensen, Larry Dean via phone (503) 639-8107.

Contact Information

Primary practice address
11815 Sw King James Pl Suite 60 Tigard OR 97224-2478
Phone: (503) 639-8107
Fax: (503) 639-8108
Website:
Map and Directions
Authorized official contact:
Name: Jensen, Larry Dean Doctor of Podiatric Medicine (DPM)
Phone: (503) 639-8107

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X DP00199 Oregon

Profile Details

NPI number 1083991400
LBN Legal business name Larry D Jensen Dpm Pc
DBA Doing business as
Authorized official Jensen, Larry Dean Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 14th, 2011
Last updated May 4th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083991400 NPPES
Oregon MEDICAID 500642371

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