Individual
MS. MARY DENISE BUSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
226 SE 8TH AVE, HILLSBORO, OR 97123-4218
(503) 601-7400
(503) 601-7311
Mailing address
PO BOX 6149, ALOHA, OR 97007-0149
(503) 352-8642
(503) 352-8658
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201050124NP
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
097006687N6PMHNP-PP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500627319
—
OR
Enumeration date
10/17/2006
Last updated
05/15/2019
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