ALEX JENKINS

PROVIDENCE HEALTH AND SERVICES OREGON

Dr ALEX JENKINS is a male medical professional, specializing in Psychiatry. He graduated in 2000 from University Of Missouri, Columbia School Of Medicine.

Contact

PROVIDENCE HEALTH AND SERVICES OREGON

4805 NE GLISAN
PORTLAND
OR
972132933

Tel:

ALEX JENKINS Information

Npi 1306877535
Pac Id 0143318642
Professional Enrollment Id I20110701000065
Last Name JENKINS
First Name ALEX
Middle Name
Suffix
Gender M
Credential
Medical School Name UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE
Graduation Year 2000
Primary Specialty PSYCHIATRY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name PROVIDENCE HEALTH AND SERVICES OREGON
Group Practice Pac Id 0648183608
Number Of Group Practice Members 1139
Line 1 Street Address 4805 NE GLISAN
Line 2 Street Address
Marker Of Address Line 2 Suppression Y
City PORTLAND
State OR
Zip Code 972132933
Phone Number
Hospital Affiliation Ccn 1 380061
Hospital Affiliation Lbn 1 PROVIDENCE PORTLAND MEDICAL CENTER
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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