Search › Oregon › 246ZG1000X
Peter Jacky, PHD, FACMG
NPI 1043324049 · on the registry since 2006
Practice
- Address
- 13705 Ne Airport Way
Suite C
Portland, OR 97230 - Phone
- (503) 258-6721
- Fax
- (503) 258-6732
- Organisation at this address
- Kaiser Foundation Health Plan Of The Northwest
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 27
Registry record
- Primary taxonomy
- 246ZG1000X
246ZG1000X
- Also registered as
- 170100000X
- Sex
- Male
- Record last updated
- 2025-09-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon