Buckley, James Thomas

Buckley, James Thomas is an individual health care provider with primary practice located at 576 Olive St Suite 306, Eugene OR 97401. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Buckley, James Thomas can be contacted via phone (541) 344-7303.

Contact Information

Primary practice address
576 Olive St Suite 306 Eugene OR 97401
Phone: (541) 344-7303
Fax: (541) 686-6283
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 1169 Oregon

Profile Details

NPI number 1629144829
LBN Legal business name Buckley, James Thomas
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629144829 NPPES
Oregon MEDICAID 037759

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