Individual
MS. SHANNON F BUSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3710 SW US VETERANS HOSPITAL RD, PORTLAND, OR 97239-2964
(503) 273-5056
Mailing address
6800 PARKWAY DR, GLADSTONE, OR 97027-1333
(503) 723-6878
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
—
OR
Other
Enumeration date
02/23/2007
Last updated
07/08/2007
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