Jensen, James Waldemar
Jensen, James Waldemar is an individual health care provider with primary practice located at 342 Fairview St , Silverton OR 97381-1917. He recently has 3 registered licenses in different health care specialties including Emergency Medical Service Providers / Personal Emergency Response Attendant, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Jensen, James Waldemar can be contacted via phone (503) 873-1690.Contact Information
Primary practice address
342 Fairview St
Silverton OR 97381-1917
Phone: (503) 873-1690
Fax: (503) 873-1656
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Emergency Medical Service Providers / Personal Emergency Response Attendant | 146D00000X | MD23279 | Oregon |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD23279 | Oregon |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | MD23279 | Oregon |
Profile Details
| NPI number | 1194926485 |
|---|---|
| LBN Legal business name | Jensen, James Waldemar |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 31st, 2007 |
| Last updated | Mar 7th, 2023 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194926485 | NPPES |
| Oregon | MEDICAID | 287432 |
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