Individual
DR. PAT A BUCKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ND, PA-C
Contact information
Practice address
727 WEST BURNSIDE, PORTLAND, OR 97209-3514
(503) 228-4533
(503) 228-4618
Mailing address
727 WEST BURNSIDE, PORTLAND, OR 97209-3514
(503) 228-4533
(503) 228-7135
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
1248R
OR
175F00000X
Naturopath
NT00001395
WA
363A00000X
Physician Assistant
Primary
PA150263
OR
Other
Enumeration date
08/05/2006
Last updated
09/22/2010
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