LARRY D JENSEN DPM PC

TIGARD, OR
NPI1083991400
Entity TypeOrganization
Authorized ContactLARRY DEAN JENSEN
President
503-639-8107
Organization Subpart ?No
Primary Taxonomy213ES0131X 
(Licence: OR  DP00199)
Enumeration Date2011-11-14
Last Update Date2012-05-04
Business Address
LARRY D JENSEN DPM PC
11815 SW KING JAMES PL SUITE 60
TIGARD, OR 97224-2478
Phone number: 503-639-8107
Mailing Address
LARRY D JENSEN DPM PC
11815 SW KING JAMES PL SUITE 60
TIGARD, OR 97224-2478
Phone number: 503-639-8107
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