Individual provider · Type 1 NPI

Brian Daryl Buckner, L.M.T.

Massage Therapist · Tigard, OR

NPI number 1235319690 Active

Practice location

15495 SW Sequoia Pkwy, Ste. #150
Tigard, OR 97224-6100

Call (503) 957-0338 Map

Fax (503) 726-1152

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X10755 (OR)

Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

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About NPI 1235319690

Brian Daryl Buckner, L.M.T.'s National Provider Identifier is 1235319690, issued on Nov 13, 2007. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Tigard, OR. The record was last updated on Aug 4, 2009.