Individual
STEPHEN JEREMY LENSSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
501 N GRAHAM ST STE 200, PORTLAND, OR 97227-2000
(503) 413-2492
Mailing address
501 N GRAHAM ST STE 200, PORTLAND, OR 97227-2000
(503) 413-2492
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA01412
OR
Other
Enumeration date
11/12/2008
Last updated
11/12/2008
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