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Contact Information

STACEY BUCKLEIN, EFDA
1900 MCLOUGHLIN BLVD
SUITE 68
OREGON CITY, OR97045-1067
 Phone: 503-387-8000
 Fax: 503-387-8005
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dental Assistant

126800000X
Indicates primary specialty

NPI Profile & details for STACEY BUCKLEIN · (Female)

NPI Number 1386096758
Status Active
Credentials EFDA
Entity Individual
Enumeration date 07/08/2016
Last updated 07/08/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • OR License # 120315
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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