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Individual

JEFFREY L LENKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
401 E 10TH AVE STE 330, EUGENE, OR 97401-3357
(800) 922-7009
(877) 730-5113
Mailing address
2650 SUZANNE WAY 120, EUGENE, OR 97408-7619
(541) 345-2800
(541) 345-4419

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L2617
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
810573161
CLINIC TAX ID
OR
01
844704001
REGENCE BCBSO PROV NO
OR
Enumeration date
05/07/2007
Last updated
07/30/2015
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