person
Mr. Derek James Buchanan
Optician in Portland, Oregon
NPI 1710048335

Derek James Buchanan is a Optician based in Portland, OR and is specialized in Optician. Derek James Buchanan practices in Portland, OR. The NPI Number for Derek James Buchanan is 1710048335 and holds a License No. NOT APPLICABLE (Oregon).

The current practice location address for Derek James Buchanan is 925 Sw Taylor St, Portland, OR and can be reached out via phone at 503-228-2154 and via fax at 503-228-4694. You can also correspond with Derek James Buchanan through the mailing address at 925 SW TAYLOR ST, PORTLAND, OR - 97205-2503 (mailing address contact number: 503-228-2154).

Location: 925 Sw Taylor St, Portland, OR, 97205-2503
person
Provider Profile Details
NPI Number
1710048335
Provider Name
Derek James Buchanan
Credential
Provider Entity Type
Individual
Gender
Male
Address
925 Sw Taylor St, Portland, OR, 97205-2503
Phone Number
503-228-2154
Fax Number
503-228-4694
Provider Enumeration Date
12/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
838474000 01 OR REGENCE BCBS PROVIDER #
TIN CONFIDENTIAL 01 OR LIFEWISE
049424 05 OR
1931129593 01 OR VOCATIONAL REHAB VENDOR #
TIN CONFIDENTIAL 01 OR SUPERIOR VISION
278184 05 OR
J6344 01 OR PACIFIC SOURCE PROVIDER #
OP1880 01 OR EYEMED PROVIDER #
TIN CONFIDENTIAL 01 OR CARE OREGON PROVIDER
TIN CONFIDENTIAL 01 OR MESO
TIN CONFIDENTIAL 01 OR ODS HEALTH PLAN
institution
Provider Business Practice Location Address Details
Address
925 Sw Taylor St
City
State
Zip
97205-2503
Phone Number
503-228-2154
Fax Number
503-228-4694
person
Provider Business Mailing Address Details
Address
925 Sw Taylor St
City
State
Zip
97205-2503
Phone Number
503-228-2154
Fax Number
503-228-4694
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
License No.
NOT APPLICABLE (Oregon)
Definition
Definition to come...
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