Wiebers Jensen, Mandie
Wiebers Jensen, Mandie is an individual health care provider with primary practice located at 707 Sw Gaines St , Portland OR 97239-2901. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities, which is considered as her primary health care specialty. Wiebers Jensen, Mandie can be contacted via phone (503) 452-3563.Contact Information
Primary practice address
707 Sw Gaines St
Portland OR 97239-2901
Phone: (503) 452-3563
Fax: (503) 494-4447
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities | 2080P0008X | MD193592 | Oregon |
Profile Details
| NPI number | 1548689250 |
|---|---|
| LBN Legal business name | Wiebers Jensen, Mandie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 9th, 2014 |
| Last updated | Aug 10th, 2020 - about 5 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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