Individual
JOSEPH M BUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3181 SW SAM JACKSON PARK ROAD, OHSU PA PROGRAM GH 219, PORTLAND, OR 97239
(360) 551-3692
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 216-0700
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA173104
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500693967
—
OR
Enumeration date
04/29/2014
Last updated
10/14/2020
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