Individual
ASHLEY BUCKINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
256 E HURLBURT AVE, HERMISTON, OR 97838-2443
(541) 303-3691
Mailing address
PO BOX 1561, HERMISTON, OR 97838-3561
(541) 303-3691
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
22120
OR
Other
Enumeration date
03/25/2016
Last updated
03/25/2016
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