Elizabeth Ruth Buckley, P.T.
Physical Therapist in Milwaukie, OR. Individual provider (NPI-1).
NPI number1154772317
StatusActive
Last updated in NPPESJun 28, 2016
Details
- NPI
- 1154772317
- Entity type
- Individual (NPI-1)
- Name
- Elizabeth Ruth Buckley
- Credential
- P.T.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 28, 2016
- Last updated
- Jun 28, 2016
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 4528 | OR | Yes |
Practice location
10330 Se 32nd AveSuites 110 & 125
Milwaukie, OR 97222-6587
Phone 503-513-1327
Mailing address
10330 Se 32nd AveSuites 110 & 125
Milwaukie, OR 97222-6587
Phone 503-513-1327
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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