Jeremy Andy Jacks, L.AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

LL15852 Issued in OR

Practice address

6750 SW Franklin St Ste B
Tigard, OR 97223-2520

Phone

(503) 692-9680

Fax

(503) 670-4954

NPI assigned

Feb 8, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jeremy Jacks Lac LLC

  • Acupuncturist
  • Tigard, OR
  • NPI 1356102347
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1184697344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6750 SW FRANKLIN ST STE B",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972232520",
            "telephone_number": "503-692-9680",
            "fax_number": "503-670-4954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6750 SW FRANKLIN ST STE B",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972232520",
            "telephone_number": "503-692-9680",
            "fax_number": "503-670-4954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKS",
        "first_name": "JEREMY",
        "middle_name": "ANDY",
        "name_prefix": "Mr.",
        "credential": "L.AC.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-08",
        "last_updated": "2025-09-11",
        "certification_date": "2024-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "LL15852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kepha Ben Isreal
• Rasha Issa Safadi
• Brianna Taylor Itkin, OD
• Yoshifumi Ito, LICENSED ACUPUNCTURI
• Milana Ivkovic, PT. DPT
• Amaris Jackson-Lyday
• Heather Leigh Jackson
• Kevin Jackson
• Mehiska Mae Jackson
• Jeremy Jacob

• Acupuncturist in Tigard, OR
• Providers in Tigard, OR by specialty
• Acupuncturist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.