JACK R AGEN (MA) – Professional Counselor, NPI 1902960362

JACK R AGEN (MA) is a healthcare provider. based in Portland, Oregon. specializing in Professional Counselor. They hold the professional credentials MA. They hold a License No. C1077 (OR). The NPI Number for JACK R AGEN (MA) is 1902960362

Main info

Male
Name
JACK R AGEN (MA)
NPI
1902960362
Phone
(503) 233-5405
Address
PO BOX 82819
Enumeration Date
20 December 2006
Last Update Date
9 July 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for JACK R AGEN (MA)

  • UHY Crossleys, Station Road, Ballasalla, Malew, Rushen, IM99 6AB, Isle of Man

    PORTLAND, OR 972820819

    Phone: (503) 233-5405

    Fax: (503) 233-2696

    Type: Mailing

  • 880, 82nd Drive, Gladstone, Metro, Clackamas County, Oregon, 97027, United States

    GLADSTONE, OR 970271803

    Phone: (503) 659-5515

    Fax: (503) 659-1994

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97282)

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Reviews

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Frequently asked questions

Can I use this page to confirm JACK R AGEN (MA)'s NPI?
Yes. JACK R AGEN (MA) is listed with NPI 1902960362 in the public NPI dataset.
Is JACK R AGEN (MA) listed as active for patients and plans?
The listing shows JACK R AGEN (MA) as active in the NPI system.
What is JACK R AGEN (MA)'s primary classification?
Professional Counselor is the headline specialty for JACK R AGEN (MA) here. Clinical services aligned with this taxonomy classification.
Where should I expect JACK R AGEN (MA) on a map?
Expect Portland, Oregon as a primary anchor for JACK R AGEN (MA) unless the record lists multiple sites.
Why does JACK R AGEN (MA) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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