Individual
BROOKE NICOLE BUCKLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5200 MEADOWS RD STE 200, LAKE OSWEGO, OR 97035-0086
(855) 255-1750
(855) 255-0905
Mailing address
5200 MEADOWS RD STE 200, LAKE OSWEGO, OR 97035-0086
(855) 255-1750
(855) 255-0905
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA217984
OR
Other
Enumeration date
12/09/2022
Last updated
04/29/2025
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