MR. JACK ROBERT LENNON EMT-B NPI 1194147454

NPI Information

  • NPI: 1194147454
  • Provider Name: MR. JACK ROBERT LENNON, EMT-B
  • Classification: Emergency Medical Technician, Basic - 146N00000X
  • Entity Type: Individual
  • Address: 1535 N WILLIAMS AVE
    PORTLAND, OR
    ZIP 97227
  • Phone: (503) 238-2067

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NPI Details

MR. Jack Robert Lennon, EMT-B is an emergency medical technician basic in Portland, OR. The provider is a Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards. MR. Jack Robert Lennon, EMT-B NPI is 1194147454. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1535 N WILLIAMS AVE
PORTLAND, OR
ZIP 97227-885
Phone: (503) 238-2067

The enumeration date for this NPI number is 1/6/2014 and was last updated on 1/6/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1146N00000XEmergency Medical Technician, Basic138276OREGONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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