Individual provider · Type 1 NPI
Jacqueline R. Buckner, LMT
Specialist · North Plains, OR
NPI number
1689804577
Active
Practice location
17733 NW Pumpkin Ridge Rd
North Plains, OR 97133-6155
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 10754 (OR) |
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.
About NPI 1689804577
Jacqueline R. Buckner, LMT's National Provider Identifier is 1689804577, issued on Jul 25, 2009. The primary taxonomy on file is Specialist (174400000X), and the practice location is in North Plains, OR. The record was last updated on Jul 25, 2009.