Organization
PERFORMANCE SOLUTIONS UNLIMITED, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. A MONIQUE BUSCH PHD, ACSW, LCSW (OWNER)
(317) 418-9149
Entity
Organization
Contact information
Practice address
8885 SW CANYON RD, SUITE 210, PORTLAND, OR 97225-3431
(317) 418-9149
(503) 954-2177
Mailing address
8885 SW CANYON RD, SUITE 210, PORTLAND, OR 97225-3431
(317) 418-9149
(503) 954-2177
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L6137
OR
Other
Enumeration date
12/11/2014
Last updated
12/11/2014
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