| NPI | 1932520640 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEONARD R JENSEN President 503-523-6404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: ID NP-1166A) |
| Additional Taxonomies | 207QG0300X Family Medicine Geriatric Medicine |
| 207QH0002X Family Medicine Hospice and Palliative Medicine | |
| Enumeration Date | 2013-12-23 |
| Last Update Date | 2020-12-11 |