Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MANDIE WIEBERS JENSEN, M.D.
ActiveNeurodevelopmental Disabilities · PORTLAND, OR
Registration Details
- NPI Number
- 1548689250
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 9, 2014 (12.036699905993 yrs)
- Last Updated
- Aug 10, 2020
- License
-
MD193592 (OR)
Practice Information
- Address
-
707 SW GAINES STPORTLAND, OR, 972392901Browse OR providers · Browse ZIP 97239
- Phone
- 5034523563
- Fax
- 5034944447
- Primary Specialty
-
Neurodevelopmental Disabilities
2080P0008X
Other Neurodevelopmental Disabilities Providers in PORTLAND, OR
| Name | Credential | NPI |
|---|---|---|
| RITA PANOSCHA | MD | 1366457871 |
| DR. BENNETT GERTZ | M.D. | 1700046703 |
| DANIEL JOSEPH CROWDER | MD | 1902149958 |
| KAITLIN ANN GREENE | — | 1861735763 |
| XINRAN MARIA XIANG | M.D. | 1720469133 |
| ARAN GROVES | MD | 1841794617 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.