Individual
JAMES WALDEMAR JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
342 FAIRVIEW ST, SILVERTON, OR 97381-1917
(503) 873-1690
(503) 873-1656
Mailing address
342 FAIRVIEW ST, SILVERTON, OR 97381-1917
(503) 873-1690
(503) 873-1656
Taxonomy
Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
MD23279
OR
207P00000X
Emergency Medicine Physician
Primary
MD23279
OR
208000000X
Pediatrics Physician
MD23279
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
287432
—
OR
Enumeration date
05/31/2007
Last updated
03/07/2023
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