Andrew James Buchele, MA
Individual provider Active NPI Counselor · Wilsonville, OR
NPI 1114798378 · NPPES record last updated Jan 15, 2024
Key facts
- NPI
- 1114798378
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- License
- R8701 (OR)
- Practice address
- 28925 SW Boberg Rd
Wilsonville, OR 97070-8218 - Phone
- (360) 952-4602
- NPI assigned
- Jan 15, 2024
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R8701 | OR | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A New Life Christian Counseling & Consultation | Current |
Accepting new patients |
Locations
28925 SW Boberg Rd
Wilsonville, OR 97070
Phone (360) 952-4602
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | R8701 | OR | Yes |
Addresses
Primary practice location
28925 SW Boberg Rd
Wilsonville, OR 97070-8218
Mailing address
PO Box 411
Canby, OR 97013-0411
Other providers in Wilsonville, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 15, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.