JESSE LUCKETT


Address: 52 Ne Fremont St, Portland, OR 97212-2027
Phone: 5033816636

JESSE LUCKETT (NPI# 1629337555) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 171W00000X Contractor 7005 OR Other Service Providers

Other Providers JESSE LUCKETT

NPI Name Taxonomy Address Enumeration
1194013409 Jesse Gent Luckett Counselor 1101 Page Street, Charlottesville, VA 22903 2011-07-20

Office Location

Street Address 52 NE FREMONT ST
City PORTLAND
State OR
Zip Code 97212-2027

Providers in the same zip code

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 Information

Taxonomy Code 171W00000X
Grouping Other Service Providers
Classification Contractor

Taxonomy Definition

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

Providers in the same taxonomy and city

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

Competitor

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City PORTLAND
Zip Code 97212

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Dataset Information

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.

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