Individual
JONATHAN EDWIN JENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
500 SW RAMSEY AVE, GRANTS PASS, OR 97527
(541) 472-7000
(641) 664-3765
Mailing address
2620 EAST BARNETT RD, SUITE H, MEDFORD, OR 97504
(541) 789-5250
(541) 789-5538
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
113439
IA
Other
Enumeration date
03/27/2008
Last updated
03/21/2013
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