Jensen, Andrew O

Jensen, Andrew O is an individual health care provider with primary practice located at 1501 Ne Medical Center Dr , Bend OR 97701-6051. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Jensen, Andrew O can be contacted via phone (541) 382-2811.

Contact Information

Primary practice address
1501 Ne Medical Center Dr Bend OR 97701-6051
Phone: (541) 382-2811
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X OS14107 Florida
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X Florida
Allopathic & Osteopathic Physicians / Dermatology 207N00000X DO192668 Oregon

Profile Details

NPI number 1285025478
LBN Legal business name Jensen, Andrew O
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 10th, 2015
Last updated Apr 12th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285025478 NPPES
Oregon Other DO192668 LICENSE

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