Healthcare Provider Details

I. General information

NPI: 1518770536
Provider Name (Legal Business Name): VICKY BELINDA BUFORD MBA, CPC,
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/31/2025
Last Update Date: 01/31/2025
Certification Date: 01/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13718 PACIFIC AVE S
TACOMA WA
98444-4746
US

IV. Provider business mailing address

886 S 85TH ST
TACOMA WA
98444-4432
US

V. Phone/Fax

Practice location:
  • Phone: 253-298-7583
  • Fax:
Mailing address:
  • Phone: 253-298-7583
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number StateNULL
# 4
Primary TaxonomyY
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: