IndividualActive
Alyssa Jensen, RT(R)
NPI 1093675191 · Technician/Technologist · Lebanon, OR
Provider details
- NPI number
- 1093675191
- Entity type
- Individual
- Primary specialty
- Technician/TechnologistEye and Vision Services Providers
- Credential
- RT(R)
- Sex
- Female
- Sole proprietor
- Yes
- License
- 1070943 (OR)
Mailing address
2830 Se Glenn St
Corvallis, OR 97333-2165
Registry dates
- Enumerated
- 2025-11-12
- Last updated
- 2025-11-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.