Individual
LISA KRISTINE JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 NW OAK TREE LN, REDMOND, OR 97756-1694
(541) 923-7273
(541) 923-7468
Mailing address
1565 NW NEWELL AVE, TERREBONNE, OR 97760-9478
(541) 505-4540
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
05/18/2023
Last updated
05/18/2023
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