Individual
JAY B JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, ATC
Contact information
Practice address
1849 SW SALMON ST, PORTLAND, OR 97205-1726
(503) 272-8785
(503) 590-3687
Mailing address
14925 SW BARROWS ROAD, STE 109, BOX 151, BEAVERTON, OR 97007
(503) 481-2973
(503) 590-3687
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
06984
OR
Other
Enumeration date
12/06/2013
Last updated
06/02/2016
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