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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. JESSE STUCKEY

Active

MR. JESSE STUCKEY is a Physical Therapy Assistant healthcare provider located in LAKE OSWEGO, Oregon. NPI 1336366558 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · LAKE OSWEGO, OR

Registration Details

NPI Number
1336366558
Provider Type
Individual
Gender
Male
NPI Issued
Apr 19, 2007 (19.311479602702 yrs)
Last Updated
May 4, 2011
Licenses
2305204961 (VA)
6416 (OR)

Practice Information

Address
101 S STATE ST STE 200G
LAKE OSWEGO, OR, 970343900
Browse OR providers · Browse ZIP 97034
Phone
5036363028
Fax
5036361837
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Physical Therapy Assistant

Other Physical Therapy Assistant Providers in LAKE OSWEGO, OR

Name Credential NPI
JOEL BENJAMIN WILLIAMS PT 1932174927
MELINDA ANNE SHEARER DPT 1447228051
CHERYL SHERWOOD KOSTA P.T. 1548238165
MICHAEL JOHN CHOATE P.T. 1972571511
DAMON STEPHEN MASSEY P.T. 1538137039
SARA IRENE BARBEE P.T. 1639147135
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.