Jonas Jenkins, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

013267 Issued in OR

Practice address

7431 SE 302ND Ave
Gresham, OR 97080-8855

Phone

(503) 663-4818

NPI assigned

Apr 29, 2024

Last updated

Apr 29, 2024By the provider in NPPES

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1714348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714348800000",
    "number": "1710733886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5286 NE 60TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972183004",
            "telephone_number": "503-841-3043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7431 SE 302ND AVE",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970808855",
            "telephone_number": "503-663-4818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "JONAS",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "U",
        "enumeration_date": "2024-04-29",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OR",
            "license": "013267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Dion Jarrard, PSS/QMHAI
• Kenneth Jasperse, AA
• Michael Jedlicka, SLP
• Ariel Jeffreys, LMT
• Ethan Jeffries, LMT
• Marteen Jensen, LPC
• Kathryn Elizabeth Jepsen, RN
• Kayla Jerde, PA-C
• Emilee Nicole Jergensen, DC
• Courtney Monique Jessie, LPC

• Speech-Language Pathologist in Gresham, OR
• Providers in Gresham, OR by specialty
• Speech-Language Pathologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.