# JACQUELINE R. BUCKLEY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Roka Foot and Ankle Centers
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568085454
- **Authorized official:** DR. JACQUELINE RENEE BUCKLEY DPM (OWNER)
- **Authorized official phone:** (404) 808-4486

## Contact information

- **Practice address:** 1412 SW 43RD ST, RENTON, WA 98057-4803
- **Practice address phone:** (360) 504-6665
- **Practice address fax:** (844) 979-3080
- **Mailing address:** 9706 S 230TH PL, KENT, WA 98031-2728
- **Mailing address phone:** (404) 808-4486

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | Yes |

## Other

- **Enumeration date:** 05/26/2020
- **Last updated:** 05/26/2020