MR. Jack Robert Lennon, EMT-B

NPI #1194147454 in Portland, Oregon

Provider Information

NPI Number
1194147454
Entity Type
Individual
Name
MR. Jack Robert Lennon, EMT-B
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Emergency Medical Technician, Basic
Credential
EMT-B
Enumeration Date
Jan 6, 2014
Last Updated
Jan 6, 2014

Practice Location

Address
1535 N WILLIAMS AVE
State
Oregon
ZIP Code
97227-1885
Phone
(503) 238-2067

Specialties & Taxonomy Codes

Specialty
Emergency Medical Technician, Basic

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