Active NPIIndividual provider

Mr. Brandon J Buckendorf, MA

Speech-Language Pathologist, in Portland, Oregon

NPI Number1487770764
Practice location
10300 SW Greenburg RD, One Lincoln Center Ste 410, Portland, OR 97223-5410
Fax
—
Last updated
July 8, 2007

Mr. Brandon J Buckendorf, MA is a Speech-Language Pathologist, based in Portland, OR. Mr. Brandon J Buckendorf, MA holds the professional credentials of MA. The NPI number for Mr. Brandon J Buckendorf, MA is 1487770764 and holds license No. 012672 (OR). The current practice location address is 10300 SW Greenburg RD, One Lincoln Center Ste 410, Portland, OR 97223-5410 and the office can be reached by phone at 503-517-8555. The NPI was assigned on March 21, 2007 and the record was last updated in NPPES on July 8, 2007.

●Provider Profile Details

NPI Number
1487770764
Provider Name
Brandon James Buckendorf
Credential
MA
Entity Type
Individual (Type 1 NPI)
Gender
Male
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
No
Enumeration Date
March 21, 2007
Last Update Date
July 8, 2007
NPI Status
Active

◉Business Practice Location Address

Address
10300 SW Greenburg RD
One Lincoln Center Ste 410
Portland, OR 97223-5410
State
Oregon
ZIP
97223-5410
Country
US
Phone Number
503-517-8555

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✉Business Mailing Address

Address
7735 SW 165TH Ave
Beaverton, OR 97007-5856
City
Beaverton
State
OR
ZIP
97007-5856

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Speech-Language Pathologist, 235Z00000XYes012672OR

#Other Provider Identifiers

No legacy or other 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. Brandon J Buckendorf, MA?

The NPI number of Mr. Brandon J Buckendorf, MA is 1487770764. It was assigned on March 21, 2007 and is currently active in the NPPES registry.

What is the specialty of Mr. Brandon J Buckendorf, MA?

Mr. Brandon J Buckendorf, MA is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X) and holds license No. 012672 (OR).

Where does Mr. Brandon J Buckendorf, MA practice?

The practice location is 10300 SW Greenburg RD, One Lincoln Center Ste 410, Portland, OR 97223-5410. The office can be reached at 503-517-8555 (phone).

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 1487770764 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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