Search › Oregon › 363A00000X
Susan Jensen, PA-C
NPI 1528150927 · on the registry since 2006
Practice
- Address
- 5781 Main St
Springfield, OR 97478 - Phone
- (541) 654-0282
- Organisation at this address
- Icco Llc
Icco, Llc
Willamette Community Medical Group
Willamette Community Medical Group, Llc
Oregon Medical Group At Thurston Physical TherapyInferred from a shared address, not stated in the registry. - Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363AM0700X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-03-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon