Individual
BUNNY BUCKWALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3180 CENTER ST NE, SALEM, OR 97301-4532
(503) 349-8899
Mailing address
3180 CENTER ST NE, SALEM, OR 97301-4532
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
096000265RN
OR
Other
Enumeration date
05/12/2022
Last updated
05/12/2022
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