JESSE LUCKETT (NPI# 1629337555) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629337555 |
Entity Type | Individual |
Full Name | JESSE LUCKETT |
Credential | LMT |
Practice Address |
52 Ne Fremont St Portland OR 97212-2027 |
Practice Telephone | 5033816636 |
Mailing Telephone | 5033816636 |
Enumeration Date | 2012-05-12 |
Last Update Date | 2012-05-12 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 171W00000X | Contractor | 7005 | OR | Other Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194013409 | Jesse Gent Luckett | Counselor | 1101 Page Street, Charlottesville, VA 22903 | 2011-07-20 |
Street Address |
52 NE FREMONT ST |
City | PORTLAND |
State | OR |
Zip Code | 97212-2027 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285191361 | Beliving Counseling and Consulting | Counselor | 311 Ne Russell Street, #211, Portland, OR 97212 | 2019-02-26 |
1497223051 | Shira Dennis | Behavioral Analyst | 3424 Ne Tillamook St., Portland, OR 97212 | 2018-11-12 |
1659890317 | Cidnee Potter | Doula | 2915 Ne Mlk Jr Blvd, Portland, OR 97212 | 2017-09-14 |
1588194187 | Ann M Staple | Counselor | 2905 Ne Tillamook St, Portland, OR 97212 | 2017-06-15 |
1780129502 | Noelle Denise King | Naturopath | 2540 Ne Martin Luther King Jr Blvd Femelle Integrative, Suite A, Portland, OR 97212 | 2017-01-03 |
1285085100 | Jessica Battin | Massage Therapist | 2310 Ne 8th Ave #2, Portland, OR 97212 | 2016-06-22 |
1316311830 | Dr Elise Schroeder | Clinic/Center | 3531 Ne 15th Ave Suite A, Portland, OR 97212 | 2015-11-20 |
1467820738 | Ayanna Askari | Counselor | 3655 N E Grand Ave, Portland, OR 97212 | 2015-09-03 |
1053797167 | Iliana Henriquez | Social Worker | 3500 Ne Martin Luther King Blvd Suite 200, Portland, OR 97212 | 2015-07-31 |
1417346834 | Emily Mcdonough Comerford | Case Manager/Care Coordinator | 1823 Ne 8th Avenue, Kinship House, Portland, OR 97212 | 2015-01-22 |
Find all providers in zip 97212 |
Taxonomy Code | 171W00000X |
Grouping | Other Service Providers |
Classification | Contractor |
A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |
Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982142360 | Brooke Marie Pascoe | Contractor | 6442 Ne 38th Ave, Portland, OR 97211-7812 | 2017-02-06 |
1578000956 | Aric Naber | Contractor | 4223 Se 74th Ave, Portland, OR 97206-3415 | 2017-01-24 |
1376099093 | Anna Christine Leclerc | Contractor | 2024 Se Clinton Street, Zenana Spa and Wellness Center, Portland, OR 97202 | 2016-09-01 |
1366898421 | Nadia Greene | Contractor | 3836 Se Yamhill St, Portland, OR 97214-4355 | 2016-05-09 |
1528438132 | Kristine Okamoto | Contractor | 3940 Se Brooklyn St, Portland, OR 97202-1627 | 2015-09-25 |
1427465079 | Jennifer Marie Hessick | Contractor | 7942 Se 141st Ave, Portland, OR 97236-5450 | 2014-07-15 |
1902228091 | Tamara Wilson | Contractor | 1813 Dolphin Dr, Portland, TX 78374-2721 | 2014-01-09 |
1760810030 | Amy Rose Boren | Contractor | 8385 Sw Carmel Ct, Portland, OR 97223-6951 | 2013-10-24 |
1811243884 | Sharon L. Morrison-wolley | Contractor | 2714 Ne 38th Ave, Portland, OR 97212-2850 | 2012-07-27 |
1164794202 | Frederick Farman Johnson IIi | Contractor | 334 Ne Irving Avenue, Portland, OR 97702 | 2012-02-06 |
Find all providers in PORTLAND |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.