Active NPIIndividual provider

Tracy J Buckendorf, MA

Speech-Language Pathologist, in Portland, Oregon

NPI Number1932225166
Practice location
10300 SW Greenburg RD, One Lincoln Center Ste 410, Portland, OR 97223-5410
Fax
—
Last updated
July 8, 2007

Tracy Jean Buckendorf is a Speech-Language Pathologist, based in Portland, OR. Tracy Jean Buckendorf practices in Portland, OR and has the professional credentials of MA. The NPI Number for Tracy Jean Buckendorf is 1932225166 and holds a License No. 012774 (OR). The current practice location address for Tracy Jean Buckendorf is 10300 SW Greenburg RD, One Lincoln Center Ste 410, Portland, OR 97223-5410 and can be reached out via phone at 503-517-8555.

Provider Profile Details

NPI Number
1932225166
Provider Name
Tracy Jean Buckendorf
Credential
MA
Provider Entity Type
Individual
Gender
Female
Address
10300 SW Greenburg RD, One Lincoln Center Ste 410, Portland, OR 97223-5410
Phone Number
503-517-8555
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
No
Provider Enumeration Date
March 21, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
10300 SW Greenburg RD
One Lincoln Center Ste 410
Portland, OR 97223-5410
State
Oregon
Zip
97223-5410
Phone Number
503-517-8555
Portland, OR 97223Get directions →

Provider Business Mailing Address Details

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

License Information

License Number
012774
License State
OR
Taxonomy
Speech-Language Pathologist, · 235Z00000X · 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 Tracy J Buckendorf, MA?

The NPI number of Tracy J Buckendorf, MA is 1932225166. It was assigned on March 21, 2007 and is currently active in the NPPES registry.

What is the specialty of Tracy J Buckendorf, MA?

Tracy J Buckendorf, MA is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in OR under license number 012774.

Where does Tracy 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 1932225166 directly on the NPPES registry website.

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