Active NPIIndividual providerSole proprietor

Mr. Brian D Buckner, LMT

Massage Therapist in Tigard, Oregon

NPI Number1235319690
Practice location
15495 SW Sequoia Pkwy, Ste. #150, Tigard, OR 97224-6100
Fax
503-726-1152
Last updated
August 4, 2009

Brian Daryl Buckner is a Massage Therapist based in Tigard, OR. Brian Daryl Buckner practices in Tigard, OR and has the professional credentials of LMT. The NPI Number for Brian Daryl Buckner is 1235319690 and holds a License No. 10755 (OR). The current practice location address for Brian Daryl Buckner is 15495 SW Sequoia Pkwy, Ste. #150, Tigard, OR 97224-6100 and can be reached out via phone at 503-957-0338 and via fax at 503-726-1152.

Provider Profile Details

NPI Number
1235319690
Provider Name
Brian Daryl Buckner
Credential
LMT
Provider Entity Type
Individual
Gender
Male
Address
15495 SW Sequoia Pkwy, Ste. #150, Tigard, OR 97224-6100
Phone Number
503-957-0338
Fax Number
503-726-1152
Primary Taxonomy
Massage Therapist · 225700000X
Sole Proprietor
Yes
Provider Enumeration Date
November 13, 2007
Last Update Date
August 4, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
15495 SW Sequoia Pkwy
Ste. #150
Tigard, OR 97224-6100
City
Tigard
State
Oregon
Zip
97224-6100
Phone Number
503-957-0338
Fax Number
503-726-1152
Tigard, OR 97224Get directions →

Provider Business Mailing Address Details

Address
15495 SW Sequoia Pkwy
Ste. #150
Tigard, OR 97224-6100
City
Tigard
State
OR
Zip
97224-6100
Phone Number
503-957-0338
Fax Number
503-726-1152

License Information

License Number
10755
License State
OR
Taxonomy
Massage Therapist · 225700000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Brian D Buckner, LMT?

The NPI number of Mr. Brian D Buckner, LMT is 1235319690. It was assigned on November 13, 2007 and is currently active in the NPPES registry.

What is the specialty of Mr. Brian D Buckner, LMT?

Mr. Brian D Buckner, LMT is registered under the primary taxonomy Massage Therapist (code 225700000X), licensed in OR under license number 10755.

Where does Mr. Brian D Buckner, LMT practice?

The practice location is 15495 SW Sequoia Pkwy, Ste. #150, Tigard, OR 97224-6100. The office can be reached at 503-957-0338 (phone) or 503-726-1152 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1235319690 directly on the NPPES registry website.

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