NPI 1851383269

Larry Dean Jensen, DPM

Practitioner Foot Surgery Podiatrist Tigard, OR

Practice location

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

Registered specialties

Foot Surgery Podiatrist Primary

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

Other Podiatrist providers in Oregon →

Registry record

NPI: 1851383269
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Aug 2005
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.