Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kenneth Jasperse, AA

Individual provider Specialist · NPI 1265684187

Kenneth Jasperse, AA is a Specialist in Gresham, Oregon. Registered with an NPI since 2008.

In the registry since
2008

Practice location Address checks out

4101 NE Division St # 100
Gresham, OR 97030-4617
Phone: (503) 666-3808
Fax: (503) 666-6835
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1265684187
Entity typeIndividual (Type 1)
GenderMale
Credentials AA
Sole proprietorNo
NPI enumeratedOctober 22, 2008
Last updated in NPPESOctober 22, 2008
Mailing address12031 Se Main St, Portland, OR 97216-3963

Other providers in Gresham