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Individual

ELIZABETH BUSETTO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ND, DC, IBCLC

Contact information

Practice address
38706 PIONEER BLVD, SANDY, OR 97055-8008
(503) 954-3676
(503) 994-0294
Mailing address
38706 PIONEER BLVD STE 240, SANDY, OR 97055-8008
(503) 954-3676
(503) 994-0294

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
5521
OR
174N00000X
Lactation Consultant (Non-RN)
L-89121
175F00000X
Naturopath
Primary
1585
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500675124
OR
Enumeration date
01/31/2008
Last updated
08/23/2023
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