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DR. RANDY L BUCKNER D.O.
NPI 1841207792
Family Medicine in Olympia, WA

Active since August 02, 2006
402 BLACK HILLS LN SW STE B, OLYMPIA, WA 98502(360) 754-4837(360) 754-7304 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Randy L Buckner D.o. NPPES

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

DR. RANDY L BUCKNER D.O. (NPI 1841207792) is an individual family medicine provider in Olympia, Washington, licensed in Washington (WAOP00001204) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1841207792
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. RANDY L BUCKNERCredential: D.O.
Location Address402 BLACK HILLS LN SW STE BOlympia, WA 98502-8146
Mailing Address1401 Marvin Rd Ne, #307 Pmb 266Lacey, WA 98516-5709 · (360) 491-5055 · Fax (360) 491-5890
Phone(360) 754-4837
Fax(360) 754-7304
Sole ProprietorNo
Enumeration DateAugust 2, 2006
Last NPPES UpdateJuly 9, 2007
✔ NPI 1841207792 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WA · WAOP00001204
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
402 BLACK HILLS LN SW STE B, Olympia, WA 98502
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Other Identifiers 5

Medicare UPING26465WA
Medicaid1106996WA
Medicare ID-Type UnspecifiedAB08457WA · Medicare
Other0127421WA · L&i
OtherBU9119WA · Regence

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.

LEGACY CARE HOSPICE LLC
Hospice Care, Community Based
402 BLACK HILLS LN SW STE B
OLYMPIA, WA 98502
Thurston County (360) 968-5550
WEST OLYMPIA FAMILY MEDICINE INC, PC
Family Medicine
402 BLACK HILLS LN SW STE B
OLYMPIA, WA 98502
Thurston County (360) 754-4837

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 Randy Buckner's NPI number?

The NPI number for Randy Buckner is 1841207792. It was assigned to this individual provider in the NPPES registry on August 2, 2006.

Where is Randy Buckner located?

Randy Buckner practices at 402 Black Hills Ln SW Ste B, Olympia, WA 98502. The listed phone number is (360) 754-4837.

What is Randy Buckner's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Randy Buckner was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.