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1740406321
LISA JENSEN
PORTLAND, OR
NPI
1740406321
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: OR D8631)
Enumeration Date
2007-04-18
Last Update Date
2012-07-24
Business Address
Dr. LISA JENSEN DMD
214 N RUSSELL ST
PORTLAND, OR 97227-1620
Phone number: 503-494-7428
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Mailing Address
Dr. LISA JENSEN DMD
7717 SW 34TH AVE
PORTLAND, OR 97219-1725
Phone number: 503-246-2564
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