Professional Therapist

Jack R Agen, MA

880 82nd Dr, Gladstone, Oregon, 97027-1803

About Jack R Agen

Jack R Agen is a therapist based in Gladstone, Oregon who is specialized in Professional Counselor. Active license number of Jack R Agen is C1077 for Professional Counselor in Oregon. His current practice location is 880 82nd Dr, Gladstone. Patients can reach him at 503-659-5515 or can fax him at 503-659-1994. Jack R Agen is MA in Professional Counselor and his NPI number (Unique professional ID assigned by NPPES) is 1902960362.

Jack R Agen is a licensed mental health practitioner trained to help individuals, couples, and groups address emotional, psychological, and behavioral challenges. He uses talk therapy and evidence-based counseling methods to support clients in managing mental health conditions, improving relationships, and developing coping strategies for life’s difficulties.

Practice Information

Jack R Agen speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for appointment.

Provider Name Jack R Agen
Specialization Professional Counselor
Credentials MA
Gender Male
Practice Address: 880 82nd Dr,
Gladstone, OR - 97027-1803
Fax 503-659-1994

Professional Identification Codes

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number1902960362
NPI Enumeration Date: 20 Dec, 2006
NPI Last Update On: 09 Jul, 2007

Medical Licenses:

Healthcare professionals can hold one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jack R Agen are as mentioned below.

License NumberSpecializationStateStatus
C1077Professional Counselor OregonPrimary

Other Medical Identifiers

Other legacy medical identifiers associated with Jack R Agen such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
164936MedicaidOregon

Mailing Address

Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned Practice address.

Jack R Agen
Po Box 82819,
Portland, OR - 97282-0819
Phone: 503-233-5405
Fax: 503-233-2696

Book an Appointment with Jack R Agen

To schedule an appointment, contact Jack R Agen at 880 82nd Dr, Gladstone, Oregon or call on below stated phone number.

Call to Book an Appointment

Frequently Asked Questions

Below are some commonly asked questions about Jack R Agen:

Jack R Agen is a therapist specializing in Professional Counselor. He is a licensed mental health practitioner trained to help individuals, couples, and groups address emotional, psychological, and behavioral challenges. He uses talk therapy and evidence-based counseling methods to support clients in managing mental health conditions, improving relationships, and developing coping strategies for life’s difficulties.

Yes, Jack R Agen is currently accepting new patients. To schedule an appointment, contact the office directly and schedule an appointment.

Jack R Agen practices at 880 82nd Dr, Gladstone, Oregon, 97027-1803.

To schedule an appointment with Jack R Agen, please contact the office at 503-659-5515.

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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 September, 2026.