What is Jesse Luckett's NPI number?

Jesse Luckett's National Provider Identifier (NPI) is 1629337555, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Jesse Luckett's specialty?

Jesse Luckett is listed in the NPPES registry with a primary specialty of Contractor (Other Service Providers).

Where is Jesse Luckett located?

Jesse Luckett's practice location on file with NPPES is 52 Ne Fremont St, Portland, OR 97212-2027.

What is Jesse Luckett's phone number?

The practice phone number listed in the NPPES registry for Jesse Luckett is (503) 381-6636.

Is Jesse Luckett's NPI active?

Yes — Jesse Luckett's NPI (1629337555) is active in the NPPES registry as of the last update on 2012-05-12.

IndividualActive

Jesse Luckett, LMT

NPI 1629337555 · Contractor · Portland, OR

Jesse Luckett, LMT is a Contractor provider in Portland, OR (NPI 1629337555).

Provider details

NPI number: 1629337555
Entity type: Individual
Primary specialty: ContractorOther Service Providers
Credential: LMT
Sex: Male
Sole proprietor: Yes
License: 7005 (OR)

Specialties & taxonomies

ContractorPrimary171W00000XLicense 7005 (OR)
Other Service Providers

Profile Score

Detailed profile(80/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
14 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

52 Ne Fremont St

Portland, OR 97212-2027

Phone: (503) 381-6636

Street-level locationGet directions

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Mailing address