Jerrod Puckett is a Portland, Oregon based male chiropractor who is specialized as General Chiropractor. Active license number of Jerrod Puckett as General Chiropractor is 5895 in Oregon. Jerrod Puckett is qualified as 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.
Complete Profile:
Jerrod Puckett speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Chiropractor
Credentials:
DC
Gender:
Male
Practice Address:
6230 Ne Halsey St, Portland, Oregon, 97213-4718
Phone:
971-279-2294
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1356842066
NPI Enumeration Date:
27 Feb, 2018
NPI Last Update On:
05 Mar, 2020
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jerrod Puckett are as mentioned below.
License Number
Specialization
State
Status
5895
Chiropractor
Oregon
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Jerrod Puckett such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
500740636
Medicaid
Oregon
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
6230 Ne Halsey St, Portland, Oregon
Zip:
97213-4718
Phone Number:
971-279-2294
Fax Number:
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Patients can reach Jerrod Puckett at 6230 Ne Halsey St, Portland, Oregon or can call to book an appointment on 971-279-2294. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 October, 2024.
Comments/ Reviews:
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