Individual
JULIET ELIZABETH BUCKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 NE IRVING ST, PORTLAND, OR 97232-2243
(503) 233-4356
Mailing address
621 NE KANE DR, APT203, GRESHAM, OR 97030-5968
(503) 758-0326
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/19/2007
Last updated
04/01/2010
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