Peter Jacky, PHD, FACMG

Individual Active
NPI 1043324049
Medical Geneticist (PhD) Specialist/Technologist Portland, OR

NPI 1043324049 belongs to Peter Jacky, PHD, FACMG, a medical geneticist (phd) specialist/technologist with a practice location in Portland, OR. The NPI was issued on August 18, 2006, and the record was last updated in NPPES on September 11, 2025. The record lists 2 taxonomy codes.

Taxonomies and licenses

TaxonomyCodeLicense
Medical Geneticist (PhD) Specialist/Technologist Primary 246ZG1000X Not listed
Ph.D. Medical Genetics 170100000X Not listed

Practice location

13705 NE Airport Way
Suite C
Portland, OR 97230-1048
Phone: (503) 258-6721

Local context

Active NPPES records list 5 providers with medical geneticist (phd) specialist/technologist as the primary taxonomy within 25 miles of this practice location's ZIP code, 4 of them within 10 miles.

The same primary taxonomy is listed by 5 in Oregon and 62 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Dr. Peter Jacky
Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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