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LARRY D JENSEN DPM PC
NPI 1083991400
Podiatrist - Foot Surgery in Tigard, OR

Active since November 14, 2011
11815 SW KING JAMES PL, SUITE 60, TIGARD, OR 97224(503) 639-8107(503) 639-8108 Get Directions Write a Review

NPPES record last updated: May 4, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Larry D Jensen Dpm Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LARRY D JENSEN DPM PC (NPI 1083991400) is a healthcare organization registered as a foot surgery in Tigard, Oregon and active in the NPI registry since November 2011. The organization lists Larry Dean Jensen, President, as its authorized official.

NPPES Registry Identity

NPI1083991400
Entity TypeOrganization
Primary Taxonomy213ES0131X
Legal Business NameLARRY D JENSEN DPM PC
Location Address11815 SW KING JAMES PL, SUITE 60Tigard, OR 97224-2478
Mailing Address11815 Sw King James Pl, Suite 60Tigard, OR 97224-2478 · (503) 639-8107 · Fax (503) 639-8108
Phone(503) 639-8107
Fax(503) 639-8108
Organization SubpartNo
Authorized OfficialLarry Dean JensenPresident · (503) 639-8107
Enumeration DateNovember 14, 2011
Last NPPES UpdateMay 4, 2012
✔ NPI 1083991400 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0131X
License✔ Licensed in OR · DP00199
11815 SW KING JAMES PL, Tigard, OR 97224
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Other Identifiers 3

Medicaid500642371OR
Medicare NSC0876540001OR
Medicare PINR162031

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Larry D Jensen Dpm PC's NPI number?

The NPI number for Larry D Jensen Dpm PC is 1083991400. It was assigned to this organization in the NPPES registry on November 14, 2011.

Where is Larry D Jensen Dpm PC located?

Larry D Jensen Dpm PC is located at 11815 SW King James Pl Suite 60, Tigard, OR 97224. The listed phone number is (503) 639-8107.

What is Larry D Jensen Dpm PC's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot Surgery, with taxonomy code 213ES0131X.

When was this NPI record last updated?

The NPPES record for Larry D Jensen Dpm PC was last updated on May 4, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.