Individual
CONNIE BUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1010 SW COAST HWY STE 203, NEWPORT, OR 97365-5215
(541) 265-4947
(541) 574-7670
Mailing address
2620 E BARNETT RD STE H, MEDFORD, OR 97504-8383
(541) 789-8176
(541) 778-9614
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
15987-1395
WY
363LF0000X
Family Nurse Practitioner
Primary
201901366NP-PP
OR
363LF0000X
Family Nurse Practitioner
99694
MT
Other
Enumeration date
08/24/2015
Last updated
10/09/2019
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