IndividualActive
Larry Jensen, DPM
NPI 1851383269 · Foot Surgery Podiatrist · Tigard, OR
Provider details
- NPI number
- 1851383269
- Entity type
- Individual
- Primary specialty
- Foot Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- DPM
- Sex
- Male
- Sole proprietor
- No
- License
- DP00199 (OR)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Practice location
11815 Sw King James Place
Suite 60
Tigard, OR 97224
Phone: (503) 639-8107
Fax: (503) 639-8108
Approximate (ZIP-level) locationGet directions
Mailing address
11815 Sw King James Place
Tigard, OR 97224
Registry dates
- Enumerated
- 2005-08-22
- Last updated
- 2012-05-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.