Individual
ALLISON JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
1200 MIRA MAR AVE, MEDFORD, OR 97504-8546
(541) 857-7130
Mailing address
2314 HEMPSTEAD ST APT 3, MEDFORD, OR 97501-0259
(775) 722-6881
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
11/23/2019
Last updated
11/23/2019
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