NPI 1043324049

Peter Jacky, PHDFACMG

Practitioner Medical Geneticist (PhD) Specialist/Technologist Portland, OR

Practice location

Address: 13705 NE Airport Way Suite C, Portland, OR 97230-1048
Phone: (503) 258-6721
Fax: (503) 258-6732
Mailing address: 4710 NW Barnes Rd, Portland, OR 97210-1012

Registered specialties (2)

Medical Geneticist (PhD) Specialist/Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246ZG1000X

Other Specialist/Technologist, Other providers in Oregon →

Ph.D. Medical Genetics

Other Service Providers Taxonomy 170100000X

Other Medical Genetics, Ph.D. Medical Genetics providers in Oregon →

Registry record

NPI: 1043324049
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Aug 2006
Record last updated: 11 Sep 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.