Individual
DR. CARL RYDELL JENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1775 THOMPSON RD, COOS BAY, OR 97420-2198
(541) 269-8111
Mailing address
1775 THOMPSON RD, COOS BAY, OR 97420-2198
(541) 269-8111
(541) 269-8517
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
60780
MN
Other
Enumeration date
06/22/2006
Last updated
02/09/2022
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