Individual
KIM JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3200 JUANIPERO WAY, MEDFORD, OR 97504-8580
(541) 816-4131
(458) 226-2163
Mailing address
3587 HEATHROW WAY, MEDFORD, OR 97504-4004
(541) 858-8170
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
T1124
OR
Other
Enumeration date
06/22/2009
Last updated
06/03/2025
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