SearchOregon101YM0800X

Marcy Jenks

NPI 1316437387 · on the registry since 2018 · sole proprietor

Practice

Address
15237 Se Gladstone St
Portland, OR 97236
Phone
(503) 272-1656

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Also registered as
163WM0705X
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-12-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon