Doctor Name: | MS. BRENDA LOU BUCK |
NPI Number: | 1053560821 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD |
License Number: | 831 |
Business Practice Address: | 9900 Se Sunnyside Rd Clackamas, OR - 970159777 |
Business Phone Number: | 5035713764 |
Business Fax Number: | 5035718987 |
Mailing Address: | 9900 Se Sunnyside Rd, CLACKAMAS |
State: | OR |
Postal Code: | 970159777 |
Phone Number: | 5035713764 |
Fax Number: | 5035718987 |
NPI Enumeration Date: | 09/16/2008 |
NPI Last Update Date: | 09/16/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 831 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |