Healthcare Provider Details

I. General information

NPI: 1871335109
Provider Name (Legal Business Name): KERI LYNN BUHMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/07/2024
Last Update Date: 06/07/2024
Certification Date: 06/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1307 NE 78TH ST STE 10
VANCOUVER WA
98665-9675
US

IV. Provider business mailing address

7708 NE 128TH AVE
VANCOUVER WA
98682-4166
US

V. Phone/Fax

Practice location:
  • Phone: 360-597-6865
  • Fax:
Mailing address:
  • Phone: 360-597-6865
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License NumberIIN
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: