Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1194147454 Individual Practitioner Male Practitioner

Jack Robert Lennon , EMT-B

Emergency Medical Technician, Basic • Portland, OR

Professional Overview & Biography Verified Profile Summary

Jack Lennon, EMT-B is a registered healthcare professional specializing in Emergency Medical Technician, Basic in Portland, OR. Practice services are available at 1535 N WILLIAMS AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1535 N Williams Ave

Portland, OR 972271885

Telephone 5032382067
Associated Practice Facility / Clinic
🏢 Central City Concern Facility NPI 1609084904

Specialty Benchmarks & Practice Insights

Comparative analytics for Emergency Medical Technician, Basic in Portland, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
9 Specialists

Practicing in Portland, OR (22 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Emergency Medical Technician, Basic Primary Specialty

NUCC Taxonomy Code: 146N00000X

State License OR 138276

A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
David Pritchett , PA

Physician Assistant

NPI 1003114414

Physician Assistant

Sebrina Eggert , RN

Registered Nurse

NPI 1033575170

Registered Nurse

Bijan Samareh

Registered Nurse

NPI 1043137177
Arielle Bernstein , RN

Registered Nurse

NPI 1043628274

Registered Nurse

Hallie Martin

Registered Nurse - Psychiatric/Mental Health

NPI 1043790173
Dr. Andrew Mendenhall , MD

Family Medicine - Addiction Medicine

NPI 1053347591

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active January 06, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location January 06, 2014

Registered at 1535 N WILLIAMS AVE, PORTLAND, OR 972271885 (Tel: 5032382067)

📍
Updated Business Mailing Address January 06, 2014

Registered at 232 NW 6TH AVE, PORTLAND, OR 972093609

👤
Provider Name / Credentials Updated January 06, 2014

Recorded as JACK LENNON, EMT-B

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 06, 2014

Emergency Medical Technician, Basic (License #138276 in OR)

🟢
Initial NPI Registration & Enumeration January 06, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1194147454
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 06, 2014
Last Update: January 06, 2014
Sole Proprietor: No

Mailing Address

232 Nw 6th Ave

Portland, OR 972093609

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.