Individual provider · Type 1 NPI

Jerrod Puckett, DC

Chiropractor · Portland, OR

NPI number 1356842066 Active

Practice location

6230 NE Halsey St
Portland, OR 97213-4718

Other practice locations

  • 862 SE Oak St Ste 2A, Hillsboro, OR 97123-4240 · (503) 648-6997

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X5895 (OR)

Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

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About NPI 1356842066

Jerrod Puckett, DC's National Provider Identifier is 1356842066, issued on Feb 27, 2018. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Portland, OR. The record was last updated on Mar 5, 2020.