Individual
KAYLA BUKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7150 SW DARTMOUTH ST, TIGARD, OR 97223-7614
(503) 994-1416
(503) 227-4589
Mailing address
505 S MAIN ST STE 525, ORANGE, CA 92868-4553
(714) 456-5631
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD214824
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/21/2020
Last updated
06/16/2023
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