Organization · Type 2 NPI
Larry D Jensen DPM PC
Foot Surgery Podiatrist · Tigard, OR
NPI number
1083991400
Active
Practice location
11815 SW King James Pl, Suite 60
Tigard, OR 97224-2478
Fax (503) 639-8108
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot Surgery Podiatrist Primary | 213ES0131X | DP00199 (OR) |
Foot Surgery Podiatrist: Definition to come...
About NPI 1083991400
Larry D Jensen DPM PC's National Provider Identifier is 1083991400, issued on Nov 14, 2011. The primary taxonomy on file is Foot Surgery Podiatrist (213ES0131X), and the practice location is in Tigard, OR. The record was last updated on May 4, 2012.