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Organization

JOHN G BUCKMASTER MD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN G BUCKMASTER MD (PRESIDENT)
(503) 229-7603
Entity
Organization

Contact information

Practice address
2525 NW LOVEJOY STREET, SUITE 307, PORTLAND, OR 97210
(503) 229-7603
Mailing address
2525 NW LOVEJOY STREET, SUITE 307, PORTLAND, OR 97210
(503) 229-7603

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD12764
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1102227
WA
05
289702
OR
Enumeration date
04/02/2007
Last updated
08/22/2020
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