Individual
MS. TINA MARIE BUSBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1128 NW HARRIMAN ST, BEND, OR 97701-1947
(541) 383-3005
(541) 383-1883
Mailing address
600 SW COLUMBIA ST STE 6210, BEND, OR 97702-1099
(541) 383-3005
(541) 383-1883
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD23807
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500608182
—
OR
01
—
804845005
BLUE CROSS BLUE SHIELD
OR
Enumeration date
07/19/2006
Last updated
01/30/2023
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