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TIMOTHY BUCKLEY BA
NPI 1376795294
Specialist in Gresham, OR

Active since October 22, 2008
4101 NE DIVISION ST # 100, GRESHAM, OR 97030(503) 666-3808(503) 666-6835 Get Directions Write a Review

NPPES record last updated: October 22, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Timothy Buckley Ba NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIMOTHY BUCKLEY BA (NPI 1376795294) is an individual specialist in Gresham, Oregon and active in the NPI registry since October 2008.

NPPES Registry Identity

NPI1376795294
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameTIMOTHY BUCKLEYCredential: BA
Location Address4101 NE DIVISION ST # 100Gresham, OR 97030-4617
Mailing Address19534 Sw 68th AveTualatin, OR 97062-9249 · (503) 666-3808 · Fax (503) 666-6835
Phone(503) 666-3808
Fax(503) 666-6835
Sole ProprietorNo
Enumeration DateOctober 22, 2008
✔ NPI 1376795294 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
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.
4101 NE DIVISION ST # 100, Gresham, OR 97030
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. ALEXANDRA COOPER MA, QMHP
Counselor (Mental Health)
4101 NE DIVISION ST # 100
GRESHAM, OR 97030
Multnomah County (503) 666-3808
KENNETH JASPERSE AA
Specialist
4101 NE DIVISION ST # 100
GRESHAM, OR 97030
Multnomah County (503) 666-3808

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Timothy Buckley's NPI number?

The NPI number for Timothy Buckley is 1376795294. It was assigned to this individual provider in the NPPES registry on October 22, 2008.

Where is Timothy Buckley located?

Timothy Buckley practices at 4101 NE Division St # 100, Gresham, OR 97030. The listed phone number is (503) 666-3808.

What is Timothy Buckley's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Timothy Buckley was last updated on October 22, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.