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Provider Profile

Jack R. Agen, MA

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At a glance

About Jack Agen

Listed in the NPI registry as a professional counselor, Jack R. Agen, MA practices in Gladstone, OR. NPI 1902960362 identifies this record in the national registry.

Factual summary compiled by Guide.md from public records; not written by this provider.

Education & Training

School Other Graduated: 1993

Specialty

Credentials & Licensing

OR licenceAs reported to the NPI registry
No. C1077As reported
NPINational Provider Identifier
1902960362Issued 2006

As reported to the NPI registry ↗

Medicare information

Accepts Medicare assignmentSometimes (reported per claim)
Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What kind of doctor is Jack R. Agen?

Jack R. Agen is a professional counselor in Gladstone, OR. That is the designation recorded for this NPI in the federal registry.

NPI registry

What is Jack R. Agen's address?

Jack R. Agen is listed at 880 82Nd Dr, Gladstone, OR 97027. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

How can I make an appointment with Jack R. Agen?

The number on file is (503) 659-5515. Contact the office directly to confirm availability and scheduling.

NPI registry

What is Jack R. Agen's NPI number?

Jack R. Agen's National Provider Identifier is 1902960362. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

Where did Jack R. Agen train?

Jack R. Agen attended Other, graduating in 1993. This comes from the CMS National Downloadable File.

CMS public data

How long has Jack R. Agen been practicing?

Jack R. Agen has 33 years experience. Calculated from a graduation year of 1993, reported in the CMS National Downloadable File.

CMS public data

Has Jack R. Agen confirmed this information?

Not yet. This profile is built from public federal data and has not been confirmed by Jack R. Agen. If this is you, claiming it is free.

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