Organization
GEOFFREY BUNCKE MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS CHARISSE PETERSON (BILLING)
(503) 973-5000
Entity
Organization
Contact information
Practice address
1040 NW 22ND, SUITE 550, PORTLAND, OR 97210
(503) 973-5000
(503) 274-0188
Mailing address
1040 NW 22ND, SUITE 550, PORTLAND, OR 97210
(503) 973-5000
(503) 274-0188
Taxonomy
Speciality
Code
Description
License number
State
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
Primary
MD23806
OR
Other
Enumeration date
01/24/2008
Last updated
04/24/2012
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