Individual ProviderSamantha Justyne Mitchell-JenkinsSocial WorkerBehavioral Health & Social Service ProvidersPractice Address9300 NE Oak View Dr, Vancouver, WA 98662-6157(360) 567-2211(360) 356-2809PECOS EnrollmentBased on the most recent information from CMS, provider Samantha Justyne Mitchell-Jenkins does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1942778451Provider TypeIndividualFull NameMitchell-Jenkins, Samantha JustyneGenderFemaleSole ProprietorYesEnumeration Date11/2/2018Last Updated11/2/2018Contact InformationPractice LocationPractice Address9300 NE Oak View Dr, Vancouver, WA 98662-6157Phone(360) 567-2211FaxUnlisted FaxMailing LocationMailing Address834 N 13th Pl, Ridgefield, WA 98642-5458Phone(360) 356-2809FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode104100000XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer