NPI 1285025478 · live from the CMS NPI Registry
Andrew O Jensen, DO
Dermatology in Bend, OR. National Provider Identifier 1285025478, active.
NPI record
| NPI | 1285025478 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dermatology 207N00000X |
| Practice location | 1501 Ne Medical Center Dr, Bend, OR 97701 |
| Practice phone | 541-382-2811 |
| Enumerated | February 10, 2015 |
| Last updated | April 12, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology | 207N00000X | OS14107 (FL) |
| Student in an Organized Health Care Education/Training Program | 390200000X | — (FL) |
| Dermatology primary | 207N00000X | DO192668 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.