Organization
SERENITY HOUSE CALL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEONARD RICHARD JENSEN FNP (PRESIDENT)
(503) 639-3322
Entity
Organization
Contact information
Practice address
6975 SW SANDBURG ST, SUITE #190, PORTLAND, OR 97223-8073
(503) 639-3322
(888) 883-6139
Mailing address
6975 SW SANDBURG ST, SUITE #190, PORTLAND, OR 97223-8073
(503) 639-3322
(888) 883-6139
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/25/2010
Last updated
05/11/2010
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