GEOFFREY BUNCKE MD PC NPI 1225215015

NPI Information

  • NPI: 1225215015
  • Provider Name: GEOFFREY BUNCKE MD PC
  • Classification: Plastic Surgery - 2082S0105X
  • Specialization: Surgery of the Hand
  • Entity Type: Organization
  • Address: 1040 NW 22ND
    SUITE 550
    PORTLAND, OR
    ZIP 97210
  • Phone: (503) 973-5000

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NPI Details

GEOFFREY BUNCKE MD PC is a surgery of the hand plastic surgery in Portland, OR. The provider is 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. GEOFFREY BUNCKE MD PC NPI is 1225215015. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1040 NW 22ND
SUITE 550
PORTLAND, OR
ZIP 97210
Phone: (503) 973-5000
Fax: (503) 274-0188

The provider's authorized official is Charisse Peterson .
The authorized official title is Billing and has the following contact phone number (503) 973-5000.

The enumeration date for this NPI number is 1/24/2008 and was last updated on 4/24/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12082S0105XPlastic SurgerySurgery of the HandMD23806OREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1E39901MEDICARE UPINOREGON
2R140492MEDICARE PINOREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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