Provider Demographics
NPI:1891394086
Name:BUCHAN, JANAE CHRISTINE (CPO)
Entity type:Individual
Prefix:MRS
First Name:JANAE
Middle Name:CHRISTINE
Last Name:BUCHAN
Suffix:
Gender:F
Credentials:CPO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2621 NE 134TH ST STE 120
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98686-3036
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2621 NE 134TH ST STE 120
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98686-3036
Practice Address - Country:US
Practice Address - Phone:360-574-5452
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-20
Last Update Date:2021-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60988995224P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetist