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KENNETH JASPERSE AA
NPI 1265684187
Specialist in Gresham, OR

Active since October 22, 2008
4101 NE DIVISION ST # 100, GRESHAM, OR 97030(503) 666-3808(503) 666-6835 Get Directions Write a Review

NPPES record last updated: October 22, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kenneth Jasperse Aa NPPES

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

KENNETH JASPERSE AA (NPI 1265684187) is an individual specialist in Gresham, Oregon and active in the NPI registry since October 2008.

NPPES Registry Identity

NPI1265684187
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameKENNETH JASPERSECredential: AA
Location Address4101 NE DIVISION ST # 100Gresham, OR 97030-4617
Mailing Address12031 Se Main StPortland, OR 97216-3963 · (503) 666-3808 · Fax (503) 666-6835
Phone(503) 666-3808
Fax(503) 666-6835
Sole ProprietorNo
Enumeration DateOctober 22, 2008
✔ NPI 1265684187 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

4101 NE DIVISION ST # 100, Gresham, OR 97030
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Other Providers at the Same Location NPPES 2

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

MS. ALEXANDRA COOPER MA, QMHP
Counselor (Mental Health)
4101 NE DIVISION ST # 100
GRESHAM, OR 97030
Multnomah County (503) 666-3808
TIMOTHY BUCKLEY BA
Specialist
4101 NE DIVISION ST # 100
GRESHAM, OR 97030
Multnomah County (503) 666-3808

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 Kenneth Jasperse's NPI number?

The NPI number for Kenneth Jasperse is 1265684187. It was assigned to this individual provider in the NPPES registry on October 22, 2008.

Where is Kenneth Jasperse located?

Kenneth Jasperse practices at 4101 NE Division St # 100, Gresham, OR 97030. The listed phone number is (503) 666-3808.

What is Kenneth Jasperse's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Kenneth Jasperse was last updated on October 22, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.