Active NPI
Rodger K. Bufford, PSYCHOLOGIST
- Clinical Psychologist
- Tigard, OR
National Provider Identifier
1811079304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 526
- Practice address
- 7455 SW Beveland Street
Tigard, OR 97223 - Phone
- (503) 624-2600
- Fax
- (503) 624-7752
- NPI assigned
- Oct 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 526 | OR | Primary |
Addresses
Primary practice location
7455 SW Beveland Street
Tigard, OR 97223
Mailing address
7455 SW Beveland Street
Tigard, OR 97223
Phone (503) 624-2600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 182717 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Western Psychological and Counseling Services LLC | Clinical | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Psychologist
- Tacoma, WA
- NPI 1912008178
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1186704000000",
"number": "1811079304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7455 SW BEVELAND STREET",
"city": "TIGARD",
"state": "OR",
"postal_code": "97223",
"telephone_number": "503-624-2600",
"fax_number": "503-624-7752"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7455 SW BEVELAND STREET",
"city": "TIGARD",
"state": "OR",
"postal_code": "97223",
"telephone_number": "503-624-2600",
"fax_number": "503-624-7752"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUFFORD",
"first_name": "RODGER",
"middle_name": "K.",
"name_prefix": "Dr.",
"credential": "PSYCHOLOGIST",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-20",
"last_updated": "2007-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "OR",
"license": "526",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "182717",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tigard, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.