Individual
DR. JAMES THOMAS BUCKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
576 OLIVE ST, SUITE 306, EUGENE, OR 97401
(541) 344-7303
(541) 686-6283
Mailing address
576 OLIVE ST SUITE 307, EUGENE, OR 97401
(541) 344-7303
(541) 606-6283
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1169
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
037759
—
OR
Enumeration date
11/28/2006
Last updated
07/08/2007
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