Provider Demographics
NPI:1871453134
Name:BUCK, AARON FRANK
Entity type:Individual
Prefix:
First Name:AARON
Middle Name:FRANK
Last Name:BUCK
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 386
Mailing Address - Street 2:
Mailing Address - City:TOPPENISH
Mailing Address - State:WA
Mailing Address - Zip Code:98948-0386
Mailing Address - Country:US
Mailing Address - Phone:509-502-0527
Mailing Address - Fax:509-865-4333
Practice Address - Street 1:PO BOX 386
Practice Address - Street 2:
Practice Address - City:TOPPENISH
Practice Address - State:WA
Practice Address - Zip Code:98948-0386
Practice Address - Country:US
Practice Address - Phone:509-865-5121
Practice Address - Fax:509-865-4333
Is Sole Proprietor?:Yes
Enumeration Date:2025-11-17
Last Update Date:2025-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA101YM0800X, 101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1366634552Medicaid