Individual
SHAWNA M. JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
890 RIVER RD, EUGENE, OR 97404-3260
(541) 688-0674
Mailing address
890 RIVER RD, EUGENE, OR 97404-3260
(541) 688-0674
(541) 688-5378
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
209127
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209127
STATE OF OREGON MEDICAL BOARD
OR
Enumeration date
10/15/2009
Last updated
03/29/2022
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