Individual
MR. JOHN CARL BUSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LD
Contact information
Practice address
758 HAWTHORNE AVE NE, SALEM, OR 97301-4675
(503) 364-8265
(503) 682-8505
Mailing address
758 HAWTHORNE AVE NE, SALEM, OR 97301-4675
(503) 364-8265
(503) 682-8505
Taxonomy
Speciality
Code
Description
License number
State
122400000X
Denturist
Primary
DT-DO-740446
OR
Other
Enumeration date
02/24/2007
Last updated
01/17/2017
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