Individual provider · Type 1 NPI

James Jenkins, MASTER'S SOCIAL WORK

Mental Health Counselor · Portland, OR

NPI number 1174968614 Active

Practice location

847 NE 19th Ave
Portland, OR 97232

Mailing address

PO Box 8459
Portland, OR 97207-8459

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1174968614

James Jenkins, MASTER'S SOCIAL WORK's National Provider Identifier is 1174968614, issued on May 9, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Jun 15, 2018.