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

Mr. Jack Robert Lennon, EMT-B

Individual provider Basic Emergency Medical Technician · NPI 1194147454

Mr. Jack Robert Lennon, EMT-B is a Basic Emergency Medical Technician in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2014.

Licensed in
OR
In the registry since
2014

Practice location Address checks out

1535 N Williams Ave
Portland, OR 97227-1885
Phone: (503) 238-2067
Show map & directions

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

Specialties & licences

Basic Emergency Medical Technician (primary) Taxonomy 146N00000X · Licence 138276 (OR)

Record details

NPI number1194147454
Entity typeIndividual (Type 1)
GenderMale
Credentials EMT-B
Sole proprietorNo
NPI enumeratedJanuary 6, 2014
Last updated in NPPESJanuary 6, 2014

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