Jacky, Peter

Jacky, Peter is an individual health care provider with primary practice located at 13705 Ne Airport Way Suite C, Portland OR 97230-1048. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Medical Genetics, Ph.D. Medical Genetics, Technologists, Technicians & Other Technical Service Providers / Geneticist, Medical (PhD). Other Service Providers / Medical Genetics, Ph.D. Medical Genetics is his primary health care specialty. Jacky, Peter can be contacted via phone (503) 258-6721.

Contact Information

Primary practice address
13705 Ne Airport Way Suite C Portland OR 97230-1048
Phone: (503) 258-6721
Fax: (503) 258-6732
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Medical Genetics, Ph.D. Medical Genetics 170100000X
Technologists, Technicians & Other Technical Service Providers / Geneticist, Medical (PhD) 246ZG1000X

Profile Details

NPI number 1043324049
LBN Legal business name Jacky, Peter
Credentials PHD, FACMG
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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