Individual
BRETT BUCKNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MOT, MAED, OTR, ATC
Contact information
Practice address
2951 COBURG RD, EUGENE, OR 97408-5034
(541) 342-1755
Mailing address
4253 MARCUM LN, EUGENE, OR 97402-1743
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
12/01/2017
Last updated
09/18/2022
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