Individual
DR. JASON MARK BUSSANICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2031 E BURNSIDE ST, PORTLAND, OR 97214-1649
(503) 224-2100
(503) 224-2129
Mailing address
2031 E BURNSIDE ST, PORTLAND, OR 97214-1649
(503) 224-2100
(503) 224-2129
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3853
OR
Other
Enumeration date
07/15/2008
Last updated
03/13/2009
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