| Karen M. Buckley Llc | |
|
2608 Pacific Ave Se Ste C Olympia WA 98501-2085 | |
| (360) 556-0201 | |
| Not Available |
| Full Name | Karen M. Buckley Llc |
|---|---|
| Speciality | Social Worker |
| Location | 2608 Pacific Ave Se Ste C, Olympia, Washington |
| Authorized Official Name and Position | Karen M Buckley (OWNER/SOCIAL WORKER) |
| Authorized Official Contact | 3605560201 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Karen M. Buckley Llc 2608 Pacific Ave Se Ste C Olympia WA 98501-2085 Ph: (360) 556-0201 | Karen M. Buckley Llc 2608 Pacific Ave Se Ste C Olympia WA 98501-2085 Ph: (360) 556-0201 |
| NPI Number | 1790164291 |
|---|---|
| Provider Enumeration Date | 05/29/2015 |
| Last Update Date | 05/29/2015 |
| Medicare PECOS PAC ID | 1052611233 |
|---|---|
| Medicare Enrollment ID | O20160815000475 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790164291 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LW00005091 (Washington) | Primary |
| Provider Name | Karen M Buckley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639367428 PECOS PAC ID: 5496055675 Enrollment ID: I20160815000724 |
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