Individual
JONAS JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
U
Credential
MS, CCC-SLP
Contact information
Practice address
7431 SE 302ND AVE, GRESHAM, OR 97080-8855
(503) 663-4818
Mailing address
5286 NE 60TH AVE, PORTLAND, OR 97218-3004
(503) 841-3043
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
013267
OR
Other
Enumeration date
04/29/2024
Last updated
04/29/2024
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