Individual
LOREN EDWARD JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10100 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-8970
(503) 786-8435
Mailing address
10100 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-8970
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
MD00035298
WA
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
MD16763
OR
Other
Enumeration date
08/26/2006
Last updated
07/08/2007
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