JESSE LUCKETT LMT
NPI 1629337555
Contractor in Portland, OR

Active since May 12, 2012
52 NE FREMONT ST, PORTLAND, OR 97212(503) 381-6636 Get Directions Write a Review

NPPES record last updated: May 12, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jesse Luckett Lmt NPPES

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

JESSE LUCKETT LMT (NPI 1629337555) is an individual contractor provider in Portland, Oregon, licensed in Oregon (7005) and active in the NPI registry since May 2012.

NPPES Registry Identity

NPI1629337555
Entity TypeIndividualMale
Primary Taxonomy171W00000X
Provider Legal NameJESSE LUCKETTCredential: LMT
Location Address52 NE FREMONT STPortland, OR 97212-2027
Mailing Address52 Ne Fremont StPortland, OR 97212-2027 · (503) 381-6636
Sole ProprietorYes
Enumeration DateMay 12, 2012
NPI 1629337555 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyContractorOther Service Providers
Taxonomy Code171W00000X
License Licensed in OR · 7005
Definition

For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no relation to a provider's employment status.

52 NE FREMONT ST, Portland, OR 97212

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 Jesse Luckett's NPI number?

The NPI number for Jesse Luckett is 1629337555. It was assigned to this individual provider in the NPPES registry on May 12, 2012.

Where is Jesse Luckett located?

Jesse Luckett practices at 52 NE Fremont St, Portland, OR 97212. The listed phone number is (503) 381-6636.

What is Jesse Luckett's specialty?

The primary specialty registered for this NPI is Contractor with taxonomy code 171W00000X.

When was this NPI record last updated?

The NPPES record for Jesse Luckett was last updated on May 12, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.