Larry D Jensen (NPI# 1851383269, PAC ID# 3476562091) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1851383269 |
| PAC ID by PECOS | 3476562091 |
| Professional Enrollment ID | I20060410000629 |
| Full Name | Larry D Jensen |
| Address |
130 Sw 2nd Ave Suite 101 Canby OR 97013-4157 |
| Gender | M |
| Credential | DPM |
| Medical School | CALIFORNIA COLLEGE PODIATRIC MEDICINE |
| Graduation Year | 1988 |
| Primary Specialty | PODIATRY |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 130 Sw 2nd Ave, Suite 101, Canby, OR 97013-4157 | ||
| 2400 Sw Vermont St, Portland, OR 97219-1940 | 5034520915 | FANNO CREEK CLINIC LLC |
| 11815 Sw King James Pl, Suite 60, Tigard, OR 97224-2479 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Street Address |
130 SW 2ND AVE SUITE 101 |
| City | CANBY |
| State | OR |
| Zip | 97013-4157 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael J Vissers | Chiropractic | Advanced Health Center, LLC | 130 Sw 2nd Ave, Suite 101, Canby, OR 97013-4157 |
| Erik Andrew Leavitt | Chiropractic | Advanced Health Center, LLC | 130 Sw 2nd Ave, Suite 101, Canby, OR 97013-4157 |
| Matthew Charles Fryauf | Chiropractic | Advanced Health Center, LLC | 130 Sw 2nd Ave, Suite 101, Canby, OR 97013-4157 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charlo Brandon Crumpacker | Physical Therapy | North Lake Physical Therapy and Rehab Lp | 365 S Redwood St, Canby, OR 97013-2405 |
| Mackenzie Bartelli | Physical Therapy | North Lake Physical Therapy and Rehab Lp | 365 S Redwood St, Canby, OR 97013-2405 |
| John Alan Zieg | Optometry | 310 Nw 3rd Ave, Canby Vision Clinic, Canby, OR 97013-3603 | |
| Janae Z Brill | Family Medicine | Davies Clinic PC | 345 N Grant St, Canby, OR 97013-3610 |
| Deona L Bridgeman | Family Medicine | Davies Clinic PC | 345 N Grant St, Canby, OR 97013-3610 |
| Joanna Anders | Nurse Practitioner | Davies Clinic PC | 345 N Grant St, Canby, OR 97013-3610 |
| Daniel Richard Ryan | Physical Therapy | New Proactive LLC | 308 N Ivy St, Canby, OR 97013-3704 |
| Ashley K Mcferron | Optometry | Ashley K Mcferron Od PC | 364 N Ivy St, Canby, OR 97013-3704 |
| Tyler Bohnet | Physical Therapy | New Proactive LLC | 308 N Ivy St, Canby, OR 97013-3704 |
| Elizabeth Ann Henderson | Physical Therapy | New Proactive LLC | 308 N Ivy St, Canby, OR 97013-3704 |
| Find all physicians in zip 97013 | |||
| City | CANBY |
| Zip Code | 97013 |
| Specialty | PODIATRY |
| City + Specialty | CANBY + PODIATRY |
Please comment or provide details below to improve the information on Larry D Jensen.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.