IndividualActive
Peter Jacky, PHD, FACMG
NPI 1043324049 · Medical Geneticist (PhD) Specialist/Technologist · Portland, OR
Provider details
- NPI number
- 1043324049
- Entity type
- Individual
- Primary specialty
- Medical Geneticist (PhD) Specialist/TechnologistTechnologists, Technicians & Other Technical Service Providers
- Credential
- PHD, FACMG
- Sex
- Male
- Sole proprietor
- No
Practice location
13705 Ne Airport Way
Suite C
Portland, OR 97230-1048
Phone: (503) 258-6721
Fax: (503) 258-6732
Mailing address
4710 Nw Barnes Rd
Portland, OR 97210-1012
Registry dates
- Enumerated
- 2006-08-18
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.