Individual
DENNIS DEWITT BUCKMASTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S
Contact information
Practice address
4909 S COAST HWY, SOUTH BEACH, OR 97366-9648
(541) 574-5960
Mailing address
5500 NW MEANDER AVE, NEWPORT, OR 97365-1014
(541) 265-2858
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
50976
OR
Other
Enumeration date
02/15/2006
Last updated
07/08/2007
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