Whalio Doctors

NPI 1184914954

Marteen Jensen, Lpc, PC

Organisation Community/Behavioral Health Agency Gresham, OR

Practice location

Address
510 NE Roberts Ave STE 350, Gresham, OR 97030-7486
Phone
(503) 491-0811
Fax
(503) 491-0462

Authorised official

Name
Marteen Jensen
Title
President
Phone
(503) 491-0811

Registered specialties

Community/Behavioral Health Agency Primary
Agencies Taxonomy 251S00000X Licence C1184 (OR)

Registry record

NPI
1184914954
Entity type
Organization
NPI issued
14 Apr 2011
Record last updated
14 Apr 2011

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.