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Individual

BETHANY KRISTINE JENSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PMHNP-BC

Contact information

Practice address
3180 CENTER ST NE STE 2100, SALEM, OR 97301-4532
(503) 588-5351
Mailing address
3455 SW US VETERANS HOSPITAL RD, PORTLAND, OR 97239-3076
(503) 983-6089

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
202010385NP-PP
OR

Other

Enumeration date
11/13/2020
Last updated
11/13/2020
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