Individual
MARIA BLANCA BUCIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5100 S MACADAM AVE STE 200, PORTLAND, OR 97239-3827
(971) 202-5500
(971) 202-5555
Mailing address
5100 S MACADAM AVE STE 200, PORTLAND, OR 97239-3827
(971) 202-5500
(971) 202-5555
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
ARNP 9242551
FL
363LF0000X
Family Nurse Practitioner
Primary
200950070
OR
Other
Enumeration date
07/07/2006
Last updated
12/07/2021
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