Organization
SKYHOOK COUNSELING CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERRY JENKINS PSY.D. (ADMINISTRATIVE DIRECTOR)
(503) 740-7589
Entity
Organization
Contact information
Practice address
12008 SW GARDEN PL, TIGARD, OR 97223-8263
(503) 352-9863
Mailing address
10640 SE CHARLOTTE DR, HAPPY VALLEY, OR 97086-2161
(503) 740-7588
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
01/23/2020
Last updated
01/23/2020
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