Jensen, James A

Jensen, James A is an individual health care provider with primary practice located at 10564 Se Washington St , Portland OR 97216-2809. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Jensen, James A can be contacted via phone (503) 228-9229.

Contact Information

Primary practice address
10564 Se Washington St Portland OR 97216-2809
Phone: (503) 228-9229
Fax: (503) 228-9558
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Counselor 101Y00000X RC00054975 Washington
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 12-09-60 Oregon

Profile Details

NPI number 1639233893
LBN Legal business name Jensen, James A
Credentials MA,CADC II
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2006
Last updated Dec 21st, 2017 - about 9 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 1639233893 NPPES
Oregon MEDICAID 164936

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