Organization
MULTNOMAH VILLAGE DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA K JENSEN DMD (DENTIST)
(503) 246-2564
Entity
Organization
Contact information
Practice address
7717 SW 34TH AVE, PORTLAND, OR 97219-1725
(503) 246-2564
(503) 246-0748
Mailing address
7717 SW 34TH AVE, PORTLAND, OR 97219-1725
(503) 246-2564
(503) 246-0748
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
OR
Other
Enumeration date
10/09/2012
Last updated
10/09/2012
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