Individual provider · Type 1 NPI

Timothy Buckley, BA

Specialist · Gresham, OR

NPI number 1376795294 Active

Practice location

4101 NE Division St # 100
Gresham, OR 97030-4617

Call (503) 666-3808 Map

Fax (503) 666-6835

Mailing address

19534 SW 68th Ave
Tualatin, OR 97062-9249

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1376795294

Timothy Buckley, BA's National Provider Identifier is 1376795294, issued on Oct 22, 2008. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Gresham, OR. The record was last updated on Oct 22, 2008.