MR. Brian Daryl Buckner, L.M.T.

NPI #1235319690 in Tigard, Oregon

Provider Information

NPI Number: 1235319690
Entity Type: Individual
Name: MR. Brian Daryl Buckner, L.M.T.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: L.M.T.
Enumeration Date: Nov 13, 2007
Last Updated: Aug 4, 2009

Practice Location

Address: 15495 SW SEQUOIA PKWY
Address 2: STE. #150
City: Tigard
State: Oregon
ZIP Code: 97224-6100
Phone: (503) 957-0338

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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