Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1376795294 Individual Practitioner Male Practitioner

Timothy Buckley , BA

Specialist • Gresham, OR

Professional Overview & Biography Verified Profile Summary

Timothy Buckley, BA is a registered healthcare professional specializing in Specialist in Gresham, OR. Practice services are available at 4101 NE DIVISION ST # 100 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4101 Ne Division St # 100

Gresham, OR 970304617

Telephone 5036663808
Fax 5036666835
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Gresham, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 35.7 Yrs
Regional Practice Density
56 Specialists

Practicing in Gresham, OR (1153 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1003096520

BAINPSYCHOLOGY

Rebecca Shower , RN, LAC

Registered Nurse - Psychiatric/Mental Health

NPI 1013106509

Registered Nurse, Licensed Acupuncturist

Joe Maxey , BS

Specialist

NPI 1033364211

Bachelor of Science

NPI 1043544372

BAINFRENCH, Master of Social Work

Kandi Leonhart

Case Manager/Care Coordinator

NPI 1043644099
Craig Preston , RN

Registered Nurse

NPI 1053644229

Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active October 22, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location October 22, 2008

Registered at 4101 NE DIVISION ST # 100, GRESHAM, OR 970304617 (Tel: 5036663808)

📍
Updated Business Mailing Address October 22, 2008

Registered at 19534 SW 68TH AVE, TUALATIN, OR 970629249 (Tel: 5036663808)

👤
Provider Name / Credentials Updated October 22, 2008

Recorded as TIMOTHY BUCKLEY, BA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 22, 2008

Specialist

🟢
Initial NPI Registration & Enumeration October 22, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Timothy Buckley. Be the first to share your experience!

Sign in to leave a review for Timothy Buckley

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1376795294
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 22, 2008
Last Update: October 22, 2008
Sole Proprietor: No

Mailing Address

19534 Sw 68th Ave

Tualatin, OR 970629249

Phone: 5036663808

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.