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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARTIN EDWARD-JOHN BUKOVSKY

Active Sole Proprietor

MARTIN EDWARD-JOHN BUKOVSKY is a School Psychologist healthcare provider located in YACHATS, Oregon. NPI 1467124339 is currently active in the NPPES registry. Verify at CMS.

School Psychologist · YACHATS, OR

Registration Details

NPI Number
1467124339
Provider Type
Individual
Gender
Male
NPI Issued
Sep 29, 2021 (4.8450813030394 yrs)
Last Updated
Sep 29, 2021
License
190058892 (CA)
Sole Proprietor
Yes

Practice Information

Address
155 NE WAX MYRTLE LOOP
YACHATS, OR, 974989427
Browse OR providers · Browse ZIP 97498
Phone
5413515737
Primary Specialty
School Psychologist
103TS0200X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.