Individual
AARON SCOTT BUCKENDORF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
1011 COMMERCIAL ST NE, SALEM, OR 97301-1049
(503) 983-9900
Mailing address
1011 COMMERCIAL ST NE, SALEM, OR 97301-1049
(150) 398-3990
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
201130420LPN
OR
Other
Enumeration date
09/16/2022
Last updated
09/16/2022
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