Individual provider · Type 1 NPI
Larry Dean Jensen, DPM
Foot Surgery Podiatrist · Tigard, OR
NPI number
1851383269
Active
Practice location
11815 SW King James Place, Suite 60
Tigard, OR 97224
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 1851383269
Larry Dean Jensen, DPM's National Provider Identifier is 1851383269, issued on Aug 22, 2005. 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.