John Jensen
General Practice in Portland, OR. Individual provider (NPI-1).
NPI number1659965622
StatusActive
Last updated in NPPESJun 29, 2026
Details
- NPI
- 1659965622
- Entity type
- Individual (NPI-1)
- Name
- John Jensen
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 21, 2021
- Certification date
- Jun 29, 2026
- Last updated
- Jun 29, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · ORDER AND REFERRING ONLY - DIAGNOSTIC RADIOLOGY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208D00000X | General Practice | 02007316A | IN | Yes |
| 2085R0204X | Radiology, Vascular & Interventional Radiology | 02007316A | IN | |
| 2085R0202X | Radiology, Diagnostic Radiology | 02007316A | IN |
Practice location
3181 Sw Sam Jackson Park RdPortland, OR 97239-3098
Phone 503-494-8652
Mailing address
3181 Sw Sam Jackson Park RdPortland, OR 97239-3098
Phone 503-494-8652
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