Individual
ANNETTE MARIE JENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
QMHA
Contact information
Practice address
2421 LANCASTER DR NE, SALEM, OR 97305-1220
(503) 576-4560
Mailing address
PO BOX 289, 8485 ANDERSON RD. SE, SUBLIMITY, OR 97385-0289
(503) 769-4244
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
OR
Other
Enumeration date
09/09/2011
Last updated
09/09/2011
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