JACKIE LUCKETT
Community Health Worker
Active
Individual
NPI: 1497925390
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Community Health Worker | 172V00000X | Yes | 172V00000X (OR) |
Frequently Asked Questions
NPI 1497925390 is the National Provider Identifier for JACKIE LUCKETT, a Community Health Worker provider located in Portland, OR. This NPI was enumerated on March 6, 2008.
JACKIE LUCKETT practices at 1500 NE IRVING ST, Portland, OR 97232.
Quick Facts
- NPI
- 1497925390
- Type
- Individual
- Enumerated
- Mar 6, 2008
- Last Updated
- Mar 6, 2008
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