Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Mandie Wiebers Jensen, MD

Individual provider Pediatric Neurodevelopmental Disabilities Physician · NPI 1548689250

Dr. Mandie Wiebers Jensen, MD is a Pediatric Neurodevelopmental Disabilities Physician in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2014.

Licensed in
OR
In the registry since
2014
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

707 SW Gaines St
Portland, OR 97239-2901
Phone: (503) 452-3563
Fax: (503) 494-4447
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Neurodevelopmental Disabilities Physician (primary) Taxonomy 2080P0008X · Licence MD193592 (OR)

Record details

NPI number1548689250
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 9, 2014
Last updated in NPPESAugust 10, 2020
Certification dateAugust 10, 2020

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