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

Jesse Luckett, LMT

Individual provider Contractor · NPI 1629337555

Jesse Luckett, LMT is a Contractor in Portland, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2012
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

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Practice location Address checks out

52 NE Fremont St
Portland, OR 97212-2027
Phone: (503) 381-6636
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Contractor (primary) Taxonomy 171W00000X · Licence 7005 (OR)

Record details

NPI number1629337555
Entity typeIndividual (Type 1)
GenderMale
Credentials LMT
Sole proprietorYes
NPI enumeratedMay 12, 2012
Last updated in NPPESMay 12, 2012
Mailing address52 Ne Fremont St, Portland, OR 97212-2027

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