NPIMap

Organization Active NPI

Travis Buckmaster L.Ac.,P.C.

  • Acupuncturist
  • Woodburn, OR
National Provider Identifier
1548434715
Registry record updated Apr 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC00588 Issued in OR
Legal business name
TRAVIS BUCKMASTER L.AC.,P.C.
Practice address
559 Glatt Cir
Woodburn, OR 97071-9675
Phone
(503) 981-4591
Fax
(503) 982-3308
NPI assigned
Apr 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2008

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

Authorized official

Name
Mr. Travis Lee Buckmaster, LAC
Title
Owner
Phone
(503) 981-4591

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X AC00588 OR Primary

Addresses

Primary practice location

559 Glatt Cir
Woodburn, OR 97071-9675

Mailing address

559 Glatt Cir
Woodburn, OR 97071-9675
Phone (503) 981-4591

Other identifiers 1

IdentifierTypeStateIssuer
AC00588OtherORSTATE LIC

National Provider Directory

National Provider Directory

Locations

559 Glatt Cir
Woodburn, OR 97071
Phone (503) 981-4591

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1208390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208390400000",
    "number": "1548434715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "559 GLATT CIR",
            "city": "WOODBURN",
            "state": "OR",
            "postal_code": "970719675",
            "telephone_number": "503-981-4591",
            "fax_number": "503-982-3308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "559 GLATT CIR",
            "city": "WOODBURN",
            "state": "OR",
            "postal_code": "970719675",
            "telephone_number": "503-981-4591",
            "fax_number": "503-982-3308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRAVIS BUCKMASTER L.AC.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-17",
        "last_updated": "2008-04-17",
        "status": "A",
        "authorized_official_last_name": "BUCKMASTER",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-981-4591",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC00588",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LIC",
            "identifier": "AC00588",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodburn, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2008; 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.