Individual
MS. BRENDA LOU BUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
9900 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-9777
(503) 571-3764
(503) 571-8987
Mailing address
9900 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-9777
(503) 571-3764
(503) 571-8987
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
831
OR
Other
Enumeration date
09/16/2008
Last updated
12/31/2021
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