Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Martin Edward-John Bukovsky

Individual provider School Psychologist · NPI 1467124339

Martin Edward-John Bukovsky is a School Psychologist in Yachats, Oregon. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2021
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Practice location Address checks out

155 NE Wax Myrtle Loop
Yachats, OR 97498-9427
Phone: (541) 351-5737
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

School Psychologist (primary) Taxonomy 103TS0200X · Licence 190058892 (CA)

Record details

NPI number1467124339
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 29, 2021
Last updated in NPPESSeptember 29, 2021
Certification dateSeptember 29, 2021
Mailing addressPo Box 373, Yachats, OR 97498-0373