Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jeffrey Jacky, DENTURISTLD

Individual provider Denturist · NPI 1356791677

Jeffrey Jacky, DENTURISTLD is a Denturist in Beaverton, Oregon. Practices as a sole proprietor and works from 3 locations. Licensed in Oregon.

Licensed in
OR
In the registry since
2016

Practice location Address checks out

4925 SW Griffith Dr
Beaverton, OR 97005-2923
Phone: (855) 433-6825
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 8931 Se Foster Rd, Portland, OR 97266-4661 — (855) 433-6825
  • 3490 Lancaster Dr Ne, Salem, OR 97305-1356 — (855) 433-6825

Specialties & licences

Denturist (primary) Taxonomy 122400000X · Licence DTDO709602 (OR)

Record details

NPI number1356791677
Entity typeIndividual (Type 1)
GenderMale
Credentials DENTURISTLD
Sole proprietorYes
NPI enumeratedJune 17, 2016
Last updated in NPPESJune 26, 2023
Certification dateJune 26, 2023
Mailing address6950 Ne Campus Way, Hillsboro, OR 97124-5611

Other providers in Beaverton