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Contact Information

PETER JACKY, PHD, FACMG
13705 NE AIRPORT WAY
SUITE C
PORTLAND, OR97230-1048
 Phone: 503-258-6721
 Fax: 503-258-6732
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geneticist, Medical (PhD)

246ZG1000X
 

Ph.D. Medical Genetics

170100000X
Indicates primary specialty

NPI Profile & details for PETER JACKY · (Male)

NPI # 1043324049
Status Active
Credentials PHD, FACMG
Entity Individual
Enumeration date 08/18/2006
Last updated 09/11/2025 - About 9 months ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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