Individual provider · Type 1 NPI

Jesse Luckett, LMT

Contractor · Portland, OR

NPI number 1629337555 Active

Practice location

52 NE Fremont St
Portland, OR 97212-2027

Specialties and licenses

TaxonomyCodeLicense
Contractor Primary 171W00000X7005 (OR)

Contractor: For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no re…

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About NPI 1629337555

Jesse Luckett, LMT's National Provider Identifier is 1629337555, issued on May 12, 2012. The primary taxonomy on file is Contractor (171W00000X), and the practice location is in Portland, OR. The record was last updated on May 12, 2012.