Individual
MARY JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 NE 48TH AVE STE 700, HILLSBORO, OR 97124-5020
(503) 640-6040
Mailing address
1200 NE 48TH AVE STE 700, HILLSBORO, OR 97124-5020
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
61213
OR
Other
Enumeration date
02/16/2016
Last updated
02/16/2016
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