Individual
JAMES JENNINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3705 SE MARKET ST APT 4, PORTLAND, OR 97214-5156
(503) 490-9190
Mailing address
3705 SE MARKET ST APT 4, PORTLAND, OR 97214-5156
(503) 490-9190
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
8262
OR
Other
Enumeration date
02/12/2015
Last updated
05/17/2026
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