Larry Dean Jensen in Tigard - Foot Surgery
Larry Dean Jensen - NPI 1851383269
Larry Dean Jensen is a Foot Surgery in Tigard, Oregon. Larry Dean Jensen practices all healthcare services and medical treatments related to Foot Surgery. The NPI Number for Larry Dean Jensen is 1851383269. The last update date is 2012-05-04.
Larry Dean Jensen's current location address is 11815 Sw King James Place, Tigard, Oregon. You can contact this provider via phone number 5036398107 and fax number 5036398108. The mailing address for Larry Dean Jensen is 11815 Sw King James Place, Tigard, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Larry Dean Jensen |
|---|---|
| Address | 11815 Sw King James Place, Tigard, Oregon |
| Phone Number | 5036398107 |
| Fax Number | 5036398108 |
| Sole Proprietor | N |
| Credentials | DPM |
NPI Number Detail
| NPI Number | 1851383269 |
|---|---|
| Provider Enumeration Date | 2005-08-22 |
| Last Updated Date | 2012-05-04 |
Provider Mailing Address Detail
| Address | 11815 Sw King James Place |
|---|---|
| City | Tigard |
| State | Oregon (OR) |
| Post Code | 97224 |
| Phone Number | 5036398107 |
| Fax Number | 5036398108 |
Provider's Primary Taxonomy Detail
| Speciality | Foot Surgery |
|---|---|
| Taxonomy | 213Es0131X |
| Licence No | DP00199 |
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Definition: A doctor of podiatric medicine who specializes in performing foot and ankle surgeries. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 265 | OR | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Larry Dean Jensen by the Centers for Medicare & Medicaid Services (CMS)?
The Larry Dean Jensen has been assigned the NPI (National Provider Identifier) 1851383269. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Larry Dean Jensen located?
The Larry Dean Jensen is located at 11815 Sw King James Place, Tigard, OR 97224.
What is Larry Dean Jensen's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Larry Dean Jensen is Foot Surgery, and the taxonomy code that categorizes this field of expertise is 213Es0131X.
When was the Larry Dean Jensen's 1851383269 issued?
The Larry Dean Jensen's 1851383269 was issued on 2005-08-22.
As of what date were the Larry Dean Jensen's details last updated?
The information pertaining to the Larry Dean Jensen, including its address, specialty, and other details, was most recently updated on 2012-05-04.