Individual
LAURA RENE JENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, MPH, CNM, CPH
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-8311
Mailing address
4208 SE 9TH AVE, PORTLAND, OR 97202-5005
(503) 290-4942
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
200850121NP
OR
367A00000X
Advanced Practice Midwife
209007433
IL
Other
Enumeration date
01/27/2009
Last updated
12/17/2021
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