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Individual

CHRISTY RICHTER BUCKMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
24076 SE STARK ST, SUITE 230, GRESHAM, OR 97030-3373
(503) 488-2600
(503) 465-5468
Mailing address
541 NE 20TH AVE STE 225, PORTLAND, OR 97232-2895
(503) 963-2801
(503) 963-2825

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
MD26856
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
026533
OR
05
8459141
WA
Enumeration date
06/08/2006
Last updated
11/21/2023
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