Individual
DR. RICHARD R JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1700 NE 102ND AVE, PORTLAND, OR 97220-3804
(971) 229-6902
Mailing address
1700 NE 102ND AVE, PORTLAND, OR 97220-3804
(971) 229-6902
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
G67038
CA
207R00000X
Internal Medicine Physician
Primary
MD26892
OR
Other
Enumeration date
08/30/2006
Last updated
11/25/2015
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