Provider Demographics
NPI:1518770536
Name:BUFORD, VICKY BELINDA (MBA, CPC,)
Entity type:Individual
Prefix:
First Name:VICKY
Middle Name:BELINDA
Last Name:BUFORD
Suffix:
Gender:F
Credentials:MBA, CPC,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:886 S 85TH ST
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98444-4432
Mailing Address - Country:US
Mailing Address - Phone:253-298-7583
Mailing Address - Fax:
Practice Address - Street 1:13718 PACIFIC AVE S
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98444-4746
Practice Address - Country:US
Practice Address - Phone:253-298-7583
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-31
Last Update Date:2025-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
372600000X, 376J00000X
WA175T00000X, 101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist
No372600000XNursing Service Related ProvidersAdult Companion
No376J00000XNursing Service Related ProvidersHomemaker
No101Y00000XBehavioral Health & Social Service ProvidersCounselor