Individual
MIRIAM BUCKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
288 MARTIN ST, BLAINE, WA 98230-4045
(360) 788-4228
Mailing address
4191 LOOMIS TRAIL RD, BLAINE, WA 98230-9785
(360) 529-1475
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
12/10/2025
Last updated
12/10/2025
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