Peter Jacky PHD, FACMG

NPI 1043324049 - Medical Genetics, Ph.D. Medical Genetics - 170100000X

NPI Details
NPI 1043324049
Gender Male
Enumeration Date 08/18/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
13705 NE AIRPORT WAY
SUITE C
PORTLAND OR, 97230-1048, US
Phone (503) 258-6721
Fax (503) 258-6732
Business Location
4710 NW BARNES RD
PORTLAND OR, 97210-1012, US
Phone (503) 223-8985
Fax
Toxanomy
Taxonomy Code 170100000X
License State
License Number
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According to our database, Dr. Peter Jacky PHD, FACMG NPI is 1043324049, taxonomy code is 170100000X Peter Jacky PHD, FACMG physically located at 13705 Ne Airport Way, Portland OR, 97230-1048. NPI Number Peter Jacky PHD, FACMG has the Individual type.

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1043324049 NPI number is provided on an as is basis without warranty of any kind. 1043324049 is maintained by the National Plan & Provider Enumeration System. The contents of Peter Jacky PHD, FACMG are for informational purposes only.