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Mr. Jack Robert Lennon, EMT-B
Basic Emergency Medical Technician in Portland, Oregon
NPI 1194147454

Jack Robert Lennon is a Basic Emergency Medical Technician based in Portland, OR. Jack Robert Lennon practices in Portland, OR and has the professional credentials of EMT-B. The NPI Number for Jack Robert Lennon is 1194147454 and holds a License No. 138276 (Oregon).

The current practice location address for Jack Robert Lennon is 1535 N Williams Ave, Portland, OR and can be reached out via phone at 503-238-2067.

Location: 1535 N Williams Ave, Portland, OR, 97209-3609
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Provider Profile Details
NPI Number
1194147454
Provider Name
Jack Robert Lennon
Credential
EMT-B
Provider Entity Type
Individual
Gender
Male
Address
1535 N Williams Ave, Portland, OR, 97209-3609
Phone Number
503-238-2067
Fax Number
Provider Enumeration Date
01/06/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1535 N Williams Ave
City
State
Zip
97227-1885
Phone Number
503-238-2067
Fax Number
person
Provider Business Mailing Address Details
Address
1535 N Williams Ave
City
State
Zip
97227-1885
Phone Number
503-238-2067
Fax Number
person
Provider's Taxonomy Details 1
Type
Emergency Medical Service Providers
Classification
Emergency Medical Technician, Basic
Speciality
-
Taxonomy
License No.
138276 (Oregon)
Definition
A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards.
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