Boomer-Jenks, Victor

Boomer-Jenks, Victor is an individual health care provider with primary practice located at 10373 Ne Hancock St , Portland OR 97220-3873. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Boomer-Jenks, Victor can be contacted via phone (503) 253-6754.

Contact Information

Primary practice address
10373 Ne Hancock St Portland OR 97220-3873
Phone: (503) 253-6754
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Clinical 1041C0700X L5320 Oregon

Profile Details

NPI number 1760891014
LBN Legal business name Boomer-Jenks, Victor
Credentials LCSW; LICSW;
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2014
Last updated Dec 22nd, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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