Individual
ERIC RICHARD JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2825 E. BARNETT RD, MEDFORD, OR 97504-8332
(541) 789-7000
Mailing address
100 EAST MAIN ST, SUITE C, MEDFORD, OR 97501-6041
(541) 789-7000
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
MD23858
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
286331
—
OR
Enumeration date
07/07/2006
Last updated
10/28/2009
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