Individual
DR. BRETT TERRY JENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 NE 92ND AVE, VANCOUVER, WA 98664-3225
(360) 514-2142
(360) 514-6820
Mailing address
PO BOX 5037, UNIT 282, PORTLAND, OR 97208-5037
(360) 514-2142
(360) 514-6820
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
LL16358
OR
207P00000X
Emergency Medicine Physician
Primary
MD00048963
WA
Other
Enumeration date
05/23/2007
Last updated
01/28/2008
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