Tad Willis Buckingham, O.D.

NPI #1992876056 in Gaston, Oregon

Provider Information

NPI Number: 1992876056
Entity Type: Individual
Name: Tad Willis Buckingham, O.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Nov 12, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 7615 SW SPEAKS DR
City: Gaston
State: Oregon
ZIP Code: 97119-9117
Phone: (503) 459-9247

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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