DR. GEOFFREY HARRY BUNCKE


Address: 1040 Nw 22nd Ave, Suite 550, Portland, OR 97209
Phone: 5039735000

DR. GEOFFREY HARRY BUNCKE (NPI# 1295863520) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1295863520
Entity Type Individual
Full Name DR. GEOFFREY HARRY BUNCKE
Credential M.D.
Practice Address 1040 Nw 22nd Ave
Suite 550
Portland
OR 97209
Mailing Address 1040 Nw 22nd #550
Portland
OR 97210
Practice Telephone 5039735000
Practice Fax Number 5032740188
Mailing Telephone 5039735000
Mailing Fax Number 5032740188
Enumeration Date 2007-02-28
Last Update Date 2009-06-25
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2082S0105X Plastic Surgery
Specialization: Surgery of the Hand
23806 OR Allopathic & Osteopathic Physicians
N 2086S0122X Surgery
Specialization: Plastic and Reconstructive Surgery
23806 OR Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
OR STATE LICENSE 23806 01

Office Location

Street Address 1040 NW 22ND AVE
SUITE 550
City PORTLAND
State OR
Zip Code 97209

Providers in the same location

NPI Name Taxonomy Address Enumeration
1093717852 Raylene Dianne Coleman Nurse Practitioner 1040 Nw 22nd Ave, Suite 420, Portland, OR 97210-3057 2005-08-11
1386204980 Dorian Ariel Zeidenweber Student in an Organized Health Care Education/Training Program 1040 Nw 22nd Ave, Portland, OR 97210-3057 2019-06-17
1982194429 Katherine Crawford Dietitian, Registered 1040 Nw 22nd Ave, Portland, OR 97210-3057 2018-05-10
1720537111 Legacy Health General Acute Care Hospital 1040 Nw 22nd Ave, Suite 110, Portland, OR 97210-3057 2016-09-26
1053779801 Tasha Nicole Searles Clinical Nurse Specialist 1040 Nw 22nd Ave, Suite 520, Portland, OR 97210-3057 2016-02-08
1497120380 Martha Rissmiller Physical Therapist 1040 Nw 22nd Ave, Suite 520, Portland, OR 97210-3057 2015-12-03
1427436971 Claire Hanway Nurse Practitioner 1040 Nw 22nd Ave, Suite 520, Portland, OR 97210-3026 2015-05-15
1629401963 Pui Yi Boey Ophthalmology 1040 Nw 22nd Ave, Suite #200, Portland, OR 97210-3057 2013-08-09
1366783631 David Larson Demill Ophthalmology 1040 Nw 22nd Ave, Portland, OR 97210-3057 2013-03-11
1639414410 Dewi Kae De Jarnett Nurse Anesthetist, Certified Registered 1040 Nw 22nd Ave, Portland, OR 97210-3057 2012-12-04
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1508476250 Harrington Health Clinic Nurse Practitioner 310 Nw Glisan Street, Portland, OR 97209 2020-08-07
1619599636 Rivers Way Training Clinic Community/Behavioral Health 2049 Nw Hoyt, Portland, OR 97209 2020-05-13
1518590538 Julie Kay Igarta Registered Nurse 140 Northwest 14th Avenue, Portland, OR 97209 2020-02-18
1407492002 Oregon Injection Clinic Clinic/Center 1500 Nw Lovejoy, 106, Portland, OR 97209 2019-11-19
1487202883 Ann Tesora Massage Therapist 1320 Northwest 20th Avenue, Portland, OR 97209 2019-08-28
1972160455 Vincent Martin Massage Therapist 210 Sw 17th Avenue, Portland, OR 97209 2019-05-21
1154896546 Jennifer Marie Dodd Social Worker 1722 Nw Raleigh St Spc 412, Portland, OR 97209 2018-10-11
1922551910 Ashley Crowell Physician Assistant 949 Nw Overton St Unit 306, Portland, OR 97209 2016-07-26
1326408394 Jennifer Blain Counselor 324 Nw Davis, Portland, OR 97209 2016-03-03
1275993255 Lauren Dodson Licensed Practical Nurse 324 Nw Davis St, Portland, OR 97209 2016-03-03
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Taxonomy Information

Taxonomy Code 2082S0105X
Grouping Allopathic & Osteopathic Physicians
Classification Plastic Surgery
Specialization Surgery of the Hand

Taxonomy Definition

A plastic surgeon with additional training in the investigation, preservation, and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1225215015 Geoffrey Buncke Md PC Plastic Surgery 1040 Nw 22nd, Suite 550, Portland, OR 97210 2008-01-24
1952519134 Charles D Layman Md PC Plastic Surgery 9155 Sw Barnes Rd, Suite 220, Portland, OR 97225-6625 2007-05-19
1952394884 Charles Donald Layman Plastic Surgery 9155 Sw Barnes Rd, Ste 220, Portland, OR 97225-6625 2005-08-25

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1720507007 Zvi Margaliot Plastic Surgery 15390 Nw Cornell Rd Ste 225, Beaverton, OR 97006-5627 2017-09-18
1215201413 Donald Fraser Teal Plastic Surgery 2835 Capital Dr, Eugene, OR 97403-1875 2012-03-06
1699772277 Richard C. Havard Plastic Surgery 2298 Nw Kings Blvd, Corvallis, OR 97330-3923 2005-06-28
1992109557 Gregory L. Combs, M.d., P.C. Plastic Surgery 1914 Willamette Falls Dr, Suite 210, West Linn, OR 97068-4688 2014-10-10

Competitor

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City PORTLAND
Zip Code 97209

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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