Individual
CHELSIE JENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSOTR/L
Contact information
Practice address
4560 SE INTERNATIONAL WAY, SUITE 100, MILWAUKIE, OR 97222-4628
(435) 630-9157
Mailing address
6703 DOGWOOD ST, SPRINGFIELD, OR 97478-7331
(435) 630-9157
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
287710
OR
225X00000X
Occupational Therapist
8094263-4201
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
287710
OREGON STATE PRACTICE LICENSE
OR
01
—
8094263-4201
UTAH STATE PRACTICE LICENSE
UT
Enumeration date
02/23/2017
Last updated
02/23/2017
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