| Doctor Name: | JENNIFER JOANNE KING |
| NPI Number: | 1265680524 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSW, RN |
| License Number: | 200842224RN |
| Business Practice Address: | 58646 Mcnulty Way Saint Helens, OR - 970516210 |
| Business Phone Number: | 5033975211 |
| Business Fax Number: | 5033975373 |
| Mailing Address: | 7408 Se Clay St, PORTLAND |
| State: | OR |
| Postal Code: | 972153531 |
| Phone Number: | 5034425491 |
| Fax Number: | |
| NPI Enumeration Date: | 08/28/2008 |
| NPI Last Update Date: | 04/20/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP0809X |
| License Number: | 200842224RN |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OR |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Psych/Mental Health, Adult |
| Taxonomy Definition: | |