Lyle Neil Buettner

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

300 W Main St
Medford, OR 97501-2756

Phone

(541) 772-1777

NPI assigned

Aug 23, 2023

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1692748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692748800000",
    "number": "1295519759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2775 QUAIL RUN RD",
            "city": "TALENT",
            "state": "OR",
            "postal_code": "975406730",
            "telephone_number": "541-531-8782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W MAIN ST",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975012756",
            "telephone_number": "541-772-1777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUETTNER",
        "first_name": "LYLE",
        "middle_name": "NEIL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-23",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Johanna Lydia Buck, MS, PT
• Tamara Buck, LMT
• Cory Nathaniel Buckman
• Jacqueline A Buckmaster, LPC
• Jesse Buckner, COTA/L
• Jacob William Buffington, PA-C
• Jeani G Buhl, FNP
• Jacob Donald Buhler, DC
• Thong Tien Bui, MD
• Xem Ma Bui, MD

• Addiction (Substance Use Disorder) Counselor in Medford, OR
• Providers in Medford, OR by specialty
• Addiction (Substance Use Disorder) Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.