Tracy Jean Buckendorf MA

NPI 1932225166 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1932225166
Gender Female
Enumeration Date 03/21/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
10300 SW GREENBURG RD
ONE LINCOLN CENTER STE 410
PORTLAND OR, 97223-5410, US
Phone (503) 517-8555
Fax
Business Location
7735 SW 165TH AVE
BEAVERTON OR, 97007-5856, US
Phone
Fax
Toxanomy
Taxonomy Code 235Z00000X
License State Oregon
License Number 012774
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According to our database, Tracy Jean Buckendorf MA NPI is 1932225166, taxonomy code is 235Z00000X and license number is 012774, license state is located at Oregon. Tracy Jean Buckendorf MA physically located at 10300 Sw Greenburg Rd, Portland OR, 97223-5410. NPI Number Tracy Jean Buckendorf MA has the Individual type.

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1932225166 NPI number is provided on an as is basis without warranty of any kind. 1932225166 is maintained by the National Plan & Provider Enumeration System. The contents of Tracy Jean Buckendorf MA are for informational purposes only.