Individual
TERRY JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
12008 SW GARDEN PL, TIGARD, OR 97223-8263
(503) 786-2171
(503) 794-5905
Mailing address
12008 SW GARDEN PL, PORTLAND, OR 97223-8263
(503) 740-7589
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1244
OR
Other
Enumeration date
03/17/2006
Last updated
11/24/2025
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