Buckner, Jesse

Buckner, Jesse is an sole proprietor health care provider with primary practice located at 834 S Front St , Medford OR 97502-2726. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, which is considered as her primary health care specialty. Buckner, Jesse can be contacted via phone (541) 664-7400.

Contact Information

Primary practice address
834 S Front St Medford OR 97502-2726
Phone: (541) 664-7400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant 224Z00000X

Profile Details

NPI number 1154951259
LBN Legal business name Buckner, Jesse
Credentials COTA/L
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 17th, 2020
Last updated Apr 4th, 2020 - about 4 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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