Individual provider · Type 1 NPI

Jack Robert Lennon, EMT-B

Basic Emergency Medical Technician · Portland, OR

NPI number 1194147454 Active

Practice location

1535 N Williams Ave
Portland, OR 97227-1885

Call (503) 238-2067 Map

Mailing address

232 NW 6th Ave
Portland, OR 97209-3609

Specialties and licenses

TaxonomyCodeLicense
Basic Emergency Medical Technician Primary 146N00000X138276 (OR)

Basic Emergency Medical Technician: 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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About NPI 1194147454

Jack Robert Lennon, EMT-B's National Provider Identifier is 1194147454, issued on Jan 6, 2014. The primary taxonomy on file is Basic Emergency Medical Technician (146N00000X), and the practice location is in Portland, OR. The record was last updated on Jan 6, 2014.