Lennon, Jack Robert

Lennon, Jack Robert is an individual health care provider with primary practice located at 1535 N Williams Ave , Portland OR 97227-1885. He recently has only one registered license in Emergency Medical Service Providers / Emergency Medical Technician, Basic, which is considered as his primary health care specialty. Lennon, Jack Robert can be contacted via phone (503) 238-2067.

Contact Information

Primary practice address
1535 N Williams Ave Portland OR 97227-1885
Phone: (503) 238-2067
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Emergency Medical Service Providers / Emergency Medical Technician, Basic 146N00000X 138276 Oregon

Profile Details

NPI number 1194147454
LBN Legal business name Lennon, Jack Robert
Credentials EMT-B
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 6th, 2014
Last updated Jan 6th, 2014 - about 10 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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