| Larry D Jensen Dpm Pc | |
|
11815 Sw King James Pl, Suite 60, Tigard, OR 97224-2478 | |
| (503) 639-8107 | |
| (503) 639-8108 |
| Full Name | Larry D Jensen Dpm Pc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot Surgery |
| Location | 11815 Sw King James Pl, Tigard, Oregon |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083991400 | NPI | - | NPPES |
| 500642371 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0131X | Podiatrist - Foot Surgery | DP00199 (Oregon) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Larry D Jensen Dpm Pc 11815 Sw King James Pl, Suite 60, Tigard, OR 97224-2478 Ph: (503) 639-8107 | Larry D Jensen Dpm Pc 11815 Sw King James Pl, Suite 60, Tigard, OR 97224-2478 Ph: (503) 639-8107 |
Mr. Stephen M Schroeder, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 7300 Sw Childs Rd, #b, Tigard, OR 97224 Phone: 503-692-8700 Fax: 503-692-8710 | |
Yama Ahmad Dehqanzada, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 9900 Sw Hall Blvd, Suite 100, Tigard, OR 97223 Phone: 503-245-2420 Fax: 503-245-2445 | |
Ejiro C Isiorho, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 11515 Sw Durham Road, E1, Tigard, OR 97224 Phone: 503-624-0364 Fax: 503-684-3306 | |
Westside Podiatry Clinic Llc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 9900 Sw Hall Blvd, Suit 100, Tigard, OR 97223 Phone: 503-245-2420 Fax: 503-245-2445 | |
Paul Logan Williams, Podiatrist Medicare: Medicare Enrolled Practice Location: 11815 Sw King James Pl Ste 60, Tigard, OR 97224 Phone: 503-639-8107 | |
Todd Galle, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 9900 Sw Hall Bvld, Suite 100, Tigard, OR 97223 Phone: 503-245-2420 Fax: 503-245-2445 |