TIMOTHY BUCKLEY (NPI# 1376795294) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376795294 |
| Entity Type | Individual |
| Full Name | TIMOTHY BUCKLEY |
| Credential | BA |
| Practice Address |
4101 Ne Division St # 100 Gresham OR 97030-4617 |
| Mailing Address |
19534 Sw 68th Ave Tualatin OR 97062-9249 |
| Practice Telephone | 5036663808 |
| Practice Fax Number | 5036666835 |
| Mailing Telephone | 5036663808 |
| Mailing Fax Number | 5036666835 |
| Enumeration Date | 2008-10-22 |
| Last Update Date | 2008-10-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003135377 | Timothy Anthony Buckley | Family Medicine | 1300 W. Devon Avenue, Chicago, IL 60660 | 2010-05-25 |
| 1679609432 | Timothy Francis Buckley | Dentist | 3115 Rancho Vista Blvd, Suite #a, Palmdale, CA 93551-4823 | 2007-02-26 |
| 1578190278 | Timothy Buckley | Emergency Medicine | 2815 S Seacrest Blvd, Boynton Beach, FL 33435-7969 | 2020-03-24 |
| 1770796112 | Timothy Joseph Buckley | Student in an Organized Health Care Education/Training Program | 3901 Rainbow Blvd, Mailstop 4015, Kansas City, KS 66160-0001 | 2007-05-08 |
| 1558372805 | Timothy J Buckley | Family Medicine | 415 Killingworth Rd, Higganum, CT 06441-4370 | 2006-08-11 |
| 1790745735 | Timothy Neil Buckley | Family Medicine | 2901 Squalicum Pkwy, Bellingham, WA 98225-1851 | 2006-03-24 |
| 1578547493 | Timothy J Buckley | Internal Medicine | 800 West Ave S, La Crosse, WI 54601-8806 | 2005-12-05 |
| Street Address |
4101 NE DIVISION ST # 100 |
| City | GRESHAM |
| State | OR |
| Zip Code | 97030-4617 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144401688 | Alexandra Cooper | Counselor | 4101 Ne Division St # 100, Gresham, OR 97030-4617 | 2007-11-26 |
| 1265684187 | Kenneth Jasperse | Specialist | 4101 Ne Division St # 100, Gresham, OR 97030-4617 | 2008-10-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174032312 | Tiffany Chen | Occupational Therapist | 304 Ne Hood Ave., Gresham, OR 97030 | 2017-09-20 |
| 1225568454 | Goldstar Vascular Access, Inc | Home Infusion | 2870 Ne Hogan Dr, Ste E #205, Gresham, OR 97030 | 2017-06-20 |
| 1861940454 | Jessica Morrow | Massage Therapist | 1748 Nw Fairview Dr., Gresham, OR 97030 | 2016-09-13 |
| 1033665898 | Bonita Baxter | Counselor | 400 Ne 7th Street, Gresham, OR 97030 | 2016-08-31 |
| 1710335484 | Ethan William Hoccom | Counselor | 1527 Ne Lamesa Place 17th St, Gresham, OR 97030 | 2016-06-02 |
| 1992159610 | Kathleen Kline, Lmt | Massage Therapist | 1217 Ne Burnside Road Suite 701-d, Gresham, OR 97030 | 2016-04-19 |
| 1215390109 | The Wallace Medical Concern | Nurse Practitioner | 254 Nw Burnside Road, Gresham, OR 97030 | 2016-03-30 |
| 1932568912 | Atchison Dialysis, LLC | Clinic/Center | 878 Nw Burnside Rd, Gresham, OR 97030 | 2016-02-18 |
| 1912374034 | Hilary Dawn Montgomery | Counselor | 1326 Nw Civic Dr # 5569, Gresham, OR 97030 | 2015-08-24 |
| 1992171730 | Melissa E Childs | Massage Therapist | 1217 Nw Burnside Rd Ste 701, Gresham, OR 97030 | 2015-08-17 |
| Find all providers in zip 97030 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639727795 | Christina Bellmore | Specialist | 1748 Nw Fairview Dr # A, Gresham, OR 97030-3842 | 2019-08-30 |
| 1952795494 | Angela Goble | Specialist | 4010 Sw 14th Dr, Gresham, OR 97080-8373 | 2015-03-23 |
| 1568869097 | Michelle Meadow | Specialist | 124 Sw 6th Ct, Gresham, OR 97080-9390 | 2014-11-26 |
| 1235534504 | Lisa Barrow | Specialist | 1277 Ne 14th Ln, Gresham, OR 97030-4218 | 2014-10-29 |
| 1962828848 | Colleen Duncan | Specialist | 223 E Powell Blvd, Gresham, OR 97030-7605 | 2014-03-14 |
| 1558657049 | Zara Michelle Parker | Specialist | 4170 Ne El Camino Dr, Gresham, OR 97030-1749 | 2011-06-22 |
| 1194942920 | Salomeia Stan | Specialist | 655 Nw Burnside Rd, Suite 6, Gresham, OR 97030-3745 | 2007-04-20 |
| 1528198306 | Kimberly Anne Fuller | Specialist | 1217 Ne Burnside Rd Ste 502, Gresham, OR 97030-5770 | 2007-03-07 |
| 1114066214 | Amber Buxton | Specialist | 22011 Se Oak St, Gresham, OR 97030-8509 | 2007-02-05 |
| 1437217478 | Kendall Kay-lynn Hutchinson | Specialist | 231 N Main Ave, Gresham, OR 97030-7207 | 2006-12-04 |
| Find all providers in GRESHAM | ||||
Please comment or provide details below to improve the information on TIMOTHY BUCKLEY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.