Dylan Jensen, is a
Case Manager/care Coordinator based in Portland, Oregon. Dylan Jensen is licensed to practice in * (Not Available) (license number ) and his current practice location is
7759 Se 72nd Ave, Portland, Oregon. He can be reached at his office (for appointments etc.) via phone at
(503) 788-4500.
NPI number for Dylan Jensen is 1972869170 and his current mailing address is 7759 Se 72nd Ave, Portland, Oregon. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1972869170.
Healthcare Provider's Profile
| Full Name | Dylan Jensen |
|---|
| Gender | Male |
|---|
| Speciality | Case Manager/care Coordinator |
|---|
| Location | 7759 Se 72nd Ave, Portland, Oregon |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1972869170
- Provider Enumeration Date: 04/02/2012
- Last Update Date: 03/29/2019
Medical Identifiers
Medical identifiers for Dylan Jensen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1972869170 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dylan Jensen is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dylan Jensen,
7759 Se 72nd Ave,
Portland, OR 97206-7921
Ph: (503) 788-4500 | Dylan Jensen,
7759 Se 72nd Ave,
Portland, OR 97206-7921
Ph: (503) 788-4500 |
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