Individual
DANIEL R JENKINS II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2255 14TH AVE SE, ALBANY, OR 97322-8513
(541) 791-9566
Mailing address
1211 NE 64TH LN UNIT 705, HILLSBORO, OR 97124-6887
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0019811
OR
Other
Enumeration date
02/05/2024
Last updated
02/05/2024
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