Individual
MS. TABITHA ALANA JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2595 CHRISTIE DRIVE, LAKE OSWEGO, OR 97034
(503) 517-3979
Mailing address
1220 SW COLUMBIA ST, PORTLAND, OR 97201-3316
(503) 517-3979
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/09/2019
Last updated
01/10/2020
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