Individual
LYN MCNEILL JENKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
818 NW 17TH AVE, PORTLAND, OR 97209
(503) 248-2189
(503) 248-2189
Mailing address
2235 RIVER HEIGHTS CIRCLE, WEST LINN, OR 97068
(503) 248-2189
(503) 248-2189
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
5047
OR
Other
Enumeration date
01/17/2007
Last updated
07/08/2007
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