Individual
GARETT BUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
USCG 2100 2ND ST SW, SUITE 5314, WASHINGTON, DC 20593-0001
(503) 861-6240
Mailing address
40050 GARY ST, SANDY, OR 97055-7307
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
02/15/2007
Last updated
07/08/2007
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