Kenneth Jasperse, AA

Specialist · Gresham, OR

Individual Active NPI

NPI number 1265684187

Practice location

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

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NPI record

NPI
1265684187
Entity type
Individual (Type 1)
Enumeration date
October 22, 2008
Last updated
October 22, 2008
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Specialist Primary 174400000X — —

Mailing address

12031 SE Main St
Portland, OR 97216-3963
Phone
(503) 666-3808
Fax
(503) 666-6835

About Kenneth Jasperse

Kenneth Jasperse, AA is a healthcare provider registered in the NPI registry with the primary taxonomy Specialist (code 174400000X). The practice location is 4101 NE Division St # 100, Gresham, OR 97030-4617. The NPI number 1265684187 was assigned on October 22, 2008 and the record was last updated on October 22, 2008.

Frequently asked questions

What is the NPI number of Kenneth Jasperse, AA?

The NPI number is 1265684187.

What is the phone number of Kenneth Jasperse?

The phone number listed for the practice location is (503) 666-3808.

Where is Kenneth Jasperse located?

4101 NE Division St # 100, Gresham, OR 97030-4617.

What is the taxonomy code for Kenneth Jasperse?

The primary taxonomy code is 174400000X – Specialist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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