# BUSHNELL UNIVERSITY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Northwest Christian University
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487020640
- **Authorized official:** MOUZON BASS III (AGENT)
- **Authorized official phone:** (972) 367-4845

## Contact information

- **Practice address:** 828 E 11TH AVE, EUGENE, OR 97401-3745
- **Practice address phone:** (541) 684-7351
- **Practice address fax:** (972) 367-3451
- **Mailing address:** 5050 SPRING VALLEY RD, DALLAS, TX 75244-3995
- **Mailing address phone:** (972) 367-4845
- **Mailing address fax:** (972) 367-3451

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080S0010X | Pediatric Sports Medicine Physician | — | NULL | Yes |
| 2080S0010X | Pediatric Sports Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/11/2015
- **Last updated:** 08/12/2020