Individual
SERENA MORRILL-JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5402 NE 15TH AVE, PORTLAND, OR 97211-4908
(360) 409-3848
Mailing address
5402 NE 15TH AVE, PORTLAND, OR 97211-4908
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/09/2023
Last updated
01/09/2023
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