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Jesse Luckett, LMT
NPI 1629337555 · on the registry since 2012 · sole proprietor
Practice
- Address
- 52 Ne Fremont St
Portland, OR 97212 - Phone
- (503) 381-6636
Registry record
- Primary taxonomy
- Contractor
171W00000X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-05-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon