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Alex Jenkins

  • Male

Medical Specialty

Professional ID

  • NPI: 1306877535
  • PECOS ID: 0143318642
  • Enrollment ID: I20110701000065
  • Credential(MD, DO, DPM):
  • Medical School: University Of Missouri Columbia School Of Medicine
  • Medical School Graduation Year: 2000

Hospital Service

  • Hospital CCN1: 380061
  • Business Name (LBN)1: Providence Portland Medical Center

Medical Practices

  • Organization Name: Providence Health And Services - Oregon
  • Group Practice ID assigned by PECOS: 0648183608
  • Number of Group Practice member: 991

Location

  • Address1: 1321 Ne 99th Ave
  • Address2:
  • City: Portland
  • State: Oregon
  • Zip Code: 97220
  • Phone Number:

Location

  • Address1: 4805 Ne Glisan
  • Address2:
  • City: Portland
  • State: Oregon
  • Zip Code: 97213
  • Phone Number:

Location

  • Address1: 4805 Ne Glisan St
  • Address2:
  • City: Portland
  • State: Oregon
  • Zip Code: 97213
  • Phone Number:

Location

  • Address1: 4805 Ne Glisan St 1st Flr
  • Address2: Providence Cl Gen Ea
  • City: Portland
  • State: Oregon
  • Zip Code: 97213
  • Phone Number: (503)215-6724

Location

  • Address1: 4805 Ne Glisan St Ed
  • Address2: Providence Med Group
  • City: Portland
  • State: Oregon
  • Zip Code: 97213
  • Phone Number: (503)216-7082

Medicare

  • Medicare Assignment: Yes
  • Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
  • Used Electronic health record (EHR):