Doctor Name: | JAY B JENSEN |
NPI Number: | 1043641640 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT, ATC |
License Number: | 06984 |
Business Practice Address: | 1849 Sw Salmon St Portland, OR - 972051726 |
Business Phone Number: | 5032728785 |
Business Fax Number: | 5035903687 |
Mailing Address: | 14925 Sw Barrows Road, Ste 109, Box 151, BEAVERTON |
State: | OR |
Postal Code: | 97007 |
Phone Number: | 5034812973 |
Fax Number: | 5035903687 |
NPI Enumeration Date: | 12/06/2013 |
NPI Last Update Date: | 06/02/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 06984 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |