LARRY DEAN JENSEN DPM NPI 1851383269

NPI Information

  • NPI: 1851383269
  • Provider Name: LARRY DEAN JENSEN, DPM
  • Classification: Podiatrist - 213ES0131X
  • Specialization: Foot Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 11815 SW KING JAMES PLACE
    SUITE 60
    TIGARD, OR
    ZIP 97224
  • Phone: (503) 639-8107

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NPI Details

Larry Dean Jensen, DPM is a foot surgery podiatrist in Tigard, OR. Larry Dean Jensen, DPM NPI is 1851383269. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

11815 SW KING JAMES PLACE
SUITE 60
TIGARD, OR
ZIP 97224
Phone: (503) 639-8107
Fax: (503) 639-8108

The NPI 1851383269 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The enumeration date for this NPI number is 8/22/2005 and was last updated on 5/4/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213ES0131XPodiatristFoot SurgeryDP00199OREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1R162032MEDICARE PINOREGON
20876540001MEDICARE NSCOREGON
3000265MEDICAIDOREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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