Joseph Lehigh Jensen III, M.D.

Individual provider Active NPI Family Medicine Physician · Twisp, WA

NPI 1700911518 · NPPES record last updated Jun 12, 2015

Key facts

NPI
1700911518
Entity type
Individual (NPI type 1)
Primary specialty
Family Medicine Physician 207Q00000X
License
MD00013844 (WA)
Practice address
541 Second Ave
Twisp, WA 98856-9863
Phone
(509) 997-2011
Fax
(509) 997-2034
NPI assigned
Feb 22, 2007
Sex
Male
Sole proprietor
Yes

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
M-50858IDMDFamily Medicine Physician
35.033677OHMDFamily Medicine Physician
MD00013844WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health Centers Past Accepting new patients
Joseph Lehigh Jensen III Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD00013844 WA Yes
Family Medicine Physician 207Q00000X 35.033677 OH
Family Medicine Physician 207Q00000X M-50858 ID

Addresses

Primary practice location

541 Second Ave
Twisp, WA 98856-9863

Mailing address

PO Box 1340
Okanogan, WA 98840-1340
Phone (509) 422-5700

Other identifiers

IdentifierTypeStateIssuer
1081470MedicaidWA
41233OtherWALABOR AND INDUSTRY

Other providers in Twisp, WA

All providers in Twisp, WA · Family Medicine Physician in Washington

Sources for this page

Verify at the official NPI Registry.