Healthcare Provider Details

I. General information

NPI: 1447614805
Provider Name (Legal Business Name): HILLARY A JENSON DNP, NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: HILLARY STANLEY RN, BSN

II. Dates (important events)

Enumeration Date: 04/11/2016
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19260 SW 65TH AVE STE 420
TUALATIN OR
97062-5712
US

IV. Provider business mailing address

541 NE 20TH AVE STE 225
PORTLAND OR
97232-2895
US

V. Phone/Fax

Practice location:
  • Phone: 503-692-0405
  • Fax: 503-692-7978
Mailing address:
  • Phone: 503-963-2801
  • Fax: 503-963-2825

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number201805807NP-PP
License Number StateOR
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number201805807NP-PP
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: