Kenneth Jasperse, AA

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

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

Phone

(503) 666-3808

Fax

(503) 666-6835

NPI assigned

Oct 22, 2008

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Associate of Arts

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1224633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224633600000",
    "number": "1265684187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12031 SE MAIN ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972163963",
            "telephone_number": "503-666-3808",
            "fax_number": "503-666-6835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 NE DIVISION ST # 100",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970304617",
            "telephone_number": "503-666-3808",
            "fax_number": "503-666-6835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JASPERSE",
        "first_name": "KENNETH",
        "credential": "AA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-22",
        "last_updated": "2008-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jami L Stephens
• Kyleigh Jandro
• Brittany Janes, PSYD
• Cheryl Jardine, LPC, QMHP
• Anthony Dion Jarrard, PSS/QMHAI
• Michael Jedlicka, SLP
• Ariel Jeffreys, LMT
• Ethan Jeffries, LMT
• Jonas Jenkins, MS, CCC-SLP
• Marteen Jensen, LPC

• Specialist in Gresham, OR
• Providers in Gresham, OR by specialty
• Specialist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.