Individual
JON BUKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTD, R/L
Contact information
Practice address
2435 GREENWAY DR NE, SALEM, OR 97301-4535
(503) 362-5918
(503) 361-2650
Mailing address
2285 B ST NE, SALEM, OR 97301-2727
(503) 935-0781
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
05/04/2015
Last updated
03/11/2024
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