Individual
KRISTOPHER DAVID BUSKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1132 SW 13TH AVE, PORTLAND, OR 97205-1703
(503) 535-3888
Mailing address
1132 SW 13TH AVE, PORTLAND, OR 97205-1703
(503) 535-3888
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
CPT-0007615
OR
Other
Enumeration date
07/05/2016
Last updated
07/05/2016
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