Erika Buckles
Sports Medicine Doctor
930 Sw Hall St.
Portland
, Oregon 97201-9720
Erika Buckles
Sports Medicine Doctor
930 Sw Hall St.
Portland
, Oregon 97201-9720
(925) 876-7420
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About
Features
Specialties
- Sports Medicine Doctor
Languages spoken
- English
Location
First Address
- Erika Buckles
- 14829 Sw Millikan Way Apt 1015
- Beaverton, OR
- Zip : 97003-5495
- Phone : (925) 876-7420
Second Address
- Erika Buckles
- 930 Sw Hall St.
- Portland, OR
- Zip : 97201-9720
- Phone : (503) 725-4073
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 204C00000X | Sports Medicine Doctor | AT-AT-10171402 | OR |
National Provider Identifier
| NPI | 1831606607 |
|---|---|
| Provider Name | Erika Buckles |
| First Address | Beaverton, OR 97003-5495 |
| Second Address | Portland, OR 97201-9720 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/01/2018 |
| Last Update Date | 03/01/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| AT-AT-10171402 | OREGON HEALTH LICENSING (01) | OR |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.