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MR. JACK ROBERT LENNON EMT-B
NPI 1194147454
Emergency Medical Technician, Basic in Portland, OR

Active since January 06, 2014
1535 N WILLIAMS AVE, PORTLAND, OR 97227(503) 238-2067 Get Directions Write a Review

NPPES record last updated: January 6, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Jack Robert Lennon Emt-b NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JACK ROBERT LENNON EMT-B (NPI 1194147454) is an individual emergency medical technician, basic provider in Portland, Oregon, licensed in Oregon (138276) and active in the NPI registry since January 2014.

NPPES Registry Identity

NPI1194147454
Entity TypeIndividualMale
Primary Taxonomy146N00000X
Provider Legal NameMR. JACK ROBERT LENNONCredential: EMT-B
Location Address1535 N WILLIAMS AVEPortland, OR 97227-1885
Mailing Address232 Nw 6th AvePortland, OR 97209-3609
Phone(503) 238-2067
Sole ProprietorNo
Enumeration DateJanuary 6, 2014
✔ NPI 1194147454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency Medical Technician, BasicEmergency Medical Service Providers
Taxonomy Code146N00000X
License✔ Licensed in OR · 138276
Definition
A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards.
1535 N WILLIAMS AVE, Portland, OR 97227
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DAVID PRITCHETT PA
Physician Assistant
1535 N WILLIAMS AVE
PORTLAND, OR 97227
Multnomah County (503) 238-2067
HANAN DAHIR YUSUF
Registered Nurse
1535 N WILLIAMS AVE
PORTLAND, OR 97227
Multnomah County (503) 238-2003
MS. SEBRINA EGGERT RN
Registered Nurse
1535 N WILLIAMS AVE
PORTLAND, OR 97227
Multnomah County (503) 238-2067
BIJAN SAMAREH
Registered Nurse
1535 N WILLIAMS AVE
PORTLAND, OR 97227
Multnomah County (503) 238-2067
ARIELLE BERNSTEIN RN
Registered Nurse
1535 N WILLIAMS AVE
PORTLAND, OR 97227
Multnomah County (503) 238-2067
HALLIE ELIZABETH MARTIN
Registered Nurse (Psychiatric/Mental Health)
1535 N WILLIAMS AVE
PORTLAND, OR 97227
Multnomah County (503) 238-2067
CHRIS LYNN
Registered Nurse
1535 N WILLIAMS AVE
PORTLAND, OR 97227
Multnomah County (971) 244-5311
ANDREW B MENDENHALL MD
Family Medicine (Addiction Medicine)
1535 N WILLIAMS AVE
PORTLAND, OR 97227
Multnomah County (503) 238-2067

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jack Lennon's NPI number?

The NPI number for Jack Lennon is 1194147454. It was assigned to this individual provider in the NPPES registry on January 6, 2014.

Where is Jack Lennon located?

Jack Lennon practices at 1535 N Williams Ave, Portland, OR 97227. The listed phone number is (503) 238-2067.

What is Jack Lennon's specialty?

The primary specialty registered for this NPI is Emergency Medical Technician, Basic with taxonomy code 146N00000X.

When was this NPI record last updated?

The NPPES record for Jack Lennon was last updated on January 6, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.