Healthcare Provider Details

I. General information

NPI: 1033197314
Provider Name (Legal Business Name): CYNTHIA PAGE BUXTON N.D., LAC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/05/2006
Last Update Date: 10/02/2023
Certification Date: 10/02/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5040 SW GREENWOOD CIR
TUALATIN OR
97062-8743
US

IV. Provider business mailing address

5040 SW GREENWOOD CIR
TUALATIN OR
97062-8743
US

V. Phone/Fax

Practice location:
  • Phone: 206-852-9022
  • Fax: 866-473-2045
Mailing address:
  • Phone: 206-852-9022
  • Fax: 866-473-2045

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC195119
License Number StateOR
# 2
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC00000572
License Number StateWA
# 3
Primary TaxonomyN
Taxonomy Code175F00000X
TaxonomyNaturopath
License NumberNT00000913
License Number StateWA
# 4
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number4316
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: