JERROD PUCKETT DC
NPI 1356842066
Chiropractor in Portland, OR

Active since February 27, 2018
6230 NE HALSEY ST, PORTLAND, OR 97213(971) 279-2294 Get Directions Write a Review

NPPES record last updated: March 5, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 5, 2020, Feb 27, 2018 (2 updates tracked since 2018).

About Jerrod Puckett Dc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JERROD PUCKETT DC (NPI 1356842066) is an individual chiropractor in Portland, Oregon, licensed in Oregon (5895) and active in the NPI registry since February 2018. He maintains a secondary practice location in Hillsboro.

NPPES Registry Identity

NPI1356842066
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameJERROD PUCKETTCredential: DC
Location Address6230 NE HALSEY STPortland, OR 97213-4718
Mailing Address6230 Ne Halsey StPortland, OR 97213-4718 · (971) 279-2294
Sole ProprietorNo
Enumeration DateFebruary 27, 2018
Last NPPES UpdateMarch 5, 20202 updates tracked since enumeration
NPPES CertifiedMarch 5, 2020
NPI 1356842066 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in OR · 5895
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
6230 NE HALSEY ST, Portland, OR 97213

Secondary Practice Location 1

Location 1862 SE Oak St Ste 2AHillsboro, OR 97123-4240 · Phone (503) 648-6997

Other Identifiers 1

Medicaid500740636OR

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
6230 NE HALSEY ST
PORTLAND, OR 97213
Massage Therapist
6230 NE HALSEY ST
PORTLAND, OR 97213
Chiropractor
6230 NE HALSEY ST
PORTLAND, OR 97213
Specialist
6230 NE HALSEY ST
PORTLAND, OR 97213
Massage Therapist
6230 NE HALSEY ST
PORTLAND, OR 97213
Naturopath
6230 NE HALSEY ST
PORTLAND, OR 97213
Chiropractor
6230 NE HALSEY ST
PORTLAND, OR 97213
Naturopath
6230 NE HALSEY ST
PORTLAND, OR 97213

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jerrod Puckett's NPI number?

The NPI number for Jerrod Puckett is 1356842066. It was assigned to this individual provider in the NPPES registry on February 27, 2018.

Where is Jerrod Puckett located?

Jerrod Puckett practices at 6230 NE Halsey St, Portland, OR 97213. The listed phone number is (971) 279-2294.

What is Jerrod Puckett's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Jerrod Puckett was last updated on March 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.