Individual
MR. CHRISTOPHER LEE JENKINS I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
9205 SW BARNES RD, PORTLAND, OR 97225-6603
(503) 216-1234
Mailing address
PO BOX 87638, VANCOUVER, WA 98687-7638
(503) 730-2848
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
M3015
OR
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
03/27/2012
Last updated
03/27/2012
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