Individual provider · Type 1 NPI

Peter Jacky, PhD, FACMG

Medical Geneticist (PhD) Specialist/Technologist · Portland, OR

NPI number 1043324049 Active

Practice location

13705 NE Airport Way, Suite C
Portland, OR 97230-1048

Fax (503) 258-6732

Mailing address

4710 NW Barnes Rd
Portland, OR 97210-1012

Specialties and licenses

TaxonomyCodeLicense
Ph.D. Medical Genetics 170100000XNone listed
Medical Geneticist (PhD) Specialist/Technologist Primary 246ZG1000XNone listed

Medical Geneticist (PhD) Specialist/Technologist: Definition to come...

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About NPI 1043324049

Peter Jacky, PhD, FACMG's National Provider Identifier is 1043324049, issued on Aug 18, 2006. The primary taxonomy on file is Medical Geneticist (PhD) Specialist/Technologist (246ZG1000X), and the practice location is in Portland, OR. The record was last updated on Sep 11, 2025.