NPI 1083991400

Larry D Jensen DPM PC

Organisation Foot Surgery Podiatrist Tigard, OR

Practice location

Address: 11815 SW King James Pl Suite 60, Tigard, OR 97224-2478
Phone: (503) 639-8107
Fax: (503) 639-8108

Authorised official

Name: Larry Dean Jensen
Title: President
Phone: (503) 639-8107

Registered specialties

Foot Surgery Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213ES0131X Licence DP00199 (OR)

Other Podiatrist providers in Oregon →

Registry record

NPI: 1083991400
Entity type: Organization
NPI issued: 14 Nov 2011
Record last updated: 4 May 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.