Provider Demographics
NPI:1033197314
Name:BUXTON, CYNTHIA PAGE (ND, LAC)
Entity Type:Individual
Prefix:MRS
First Name:CYNTHIA
Middle Name:PAGE
Last Name:BUXTON
Suffix:
Gender:F
Credentials:ND, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5040 SW GREENWOOD CIR
Mailing Address - Street 2:
Mailing Address - City:TUALATIN
Mailing Address - State:OR
Mailing Address - Zip Code:97062-8743
Mailing Address - Country:US
Mailing Address - Phone:206-852-9022
Mailing Address - Fax:866-473-2045
Practice Address - Street 1:5040 SW GREENWOOD CIR
Practice Address - Street 2:
Practice Address - City:TUALATIN
Practice Address - State:OR
Practice Address - Zip Code:97062-8743
Practice Address - Country:US
Practice Address - Phone:206-852-9022
Practice Address - Fax:866-473-2045
Is Sole Proprietor?:No
Enumeration Date:2006-01-05
Last Update Date:2023-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORAC195119171100000X
WAAC00000572171100000X
WANT00000913175F00000X
OR4316175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
No171100000XOther Service ProvidersAcupuncturist