Individual
BELINDA GAYLE BUSWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
207 SW FIRST STREET, ENTERPRISE, OR 97828
(541) 426-0801
(541) 426-0802
Mailing address
PO BOX 268, 207 SW FIRST STREET, ENTERPRISE, OR 97828-0268
(541) 426-0801
(541) 426-0802
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0605420238
DRIVER'S LICENSE
NV
Enumeration date
01/19/2017
Last updated
01/19/2017
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