JACKIE LUCKETT – Community Health Worker, NPI 1497925390

JACKIE LUCKETT is a healthcare provider. based in Portland, Oregon. specializing in Community Health Worker. They hold a License No. 172V00000X (OR). The NPI Number for JACKIE LUCKETT is 1497925390

Main info

Female
Sole Proprietor
Name
JACKIE LUCKETT
NPI
1497925390
Phone
(503) 258-4222
Address
1500 NE IRVING ST
Enumeration Date
6 March 2008
Last Update Date
6 March 2008
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

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Provider Addresses for JACKIE LUCKETT

  • 1500, Northeast Irving Street, Kerns, Portland, Metro, Multnomah County, Oregon, 97232, United States

    PORTLAND, OR 972322243

    Phone: (503) 258-4222

    Type: Location

  • 629 NW AUTUMNCREEK WAY APT I201

    ALOHA, OR 970068753

    Phone: (503) 515-4826

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97232)

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Reviews

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Frequently asked questions

Is JACKIE LUCKETT listed with a National Provider Identifier?
Yes — JACKIE LUCKETT has NPI 1497925390 on file in the registry.
Is there an active status for JACKIE LUCKETT?
For scheduling context, JACKIE LUCKETT is shown as active in the registry.
What clinical focus is listed for JACKIE LUCKETT?
At a glance, JACKIE LUCKETT is tied to Community Health Worker. Clinical services aligned with this taxonomy classification.
Where in Oregon is JACKIE LUCKETT registered?
Use Portland, Oregon as the headline location for JACKIE LUCKETT here.
Does JACKIE LUCKETT accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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