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Contact Information

MARCY I JENKS
15237 SE GLADSTONE ST
PORTLAND, OR97236-2485
 Phone: 503-272-1656
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
 

Medical-Surgical

163WM0705X
Indicates primary specialty

NPI Profile & details for MARCY I JENKS · (Female)

NPI # 1316437387
Status Active
Credentials
Entity Individual
Enumeration date 05/15/2018
Last updated 12/18/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • OR License # 201143228RN
  • OR License # R5145
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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