Erika Buckles, ATC

Primary specialty

Sports Medicine (Neuromusculoskeletal Medicine) PhysicianTaxonomy code 204C00000X

License

AT-AT-10171402 Issued in OR

Practice address

930 SW Hall St.
Portland, OR 97201-9720

Phone

(503) 725-4073

NPI assigned

Jan 3, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Erika Cremeen Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1514937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514937600000",
    "number": "1831606607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14829 SW MILLIKAN WAY APT 1015",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970035495",
            "telephone_number": "925-876-7420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 SW HALL ST.",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972019720",
            "telephone_number": "503-725-4073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKLES",
        "first_name": "ERIKA",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-03",
        "last_updated": "2018-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204C00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": "OR",
            "license": "AT-AT-10171402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OREGON HEALTH LICENSING",
            "identifier": "AT-AT-10171402",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIKA",
            "last_name": "CREMEEN",
            "credential": "ATC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Gia Michele Buckberg, LCSW
• Brandon James Buckendorf, MA
• Tracy Jean Buckendorf, MA
• Hillary Buckholtz, MA
• Abigail Annie Buckles
• Caty Haber Buckley, LCSW
• Juliet Elizabeth Buckley
• Pat A Buckley, ND, PA-C
• Sarah Buckley, M.S. SLP-CCC
• Theresa M Buckley, M.D.

• Sports Medicine (Neuromusculoskeletal Medicine) Physician in Portland, OR
• Providers in Portland, OR by specialty
• Sports Medicine (Neuromusculoskeletal Medicine) Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2018; 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.