Individual
KATE FAGAN BUSBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
3115 NE SANDY BOULEVARD, SUITE 231, PORTLAND, OR 97232
(503) 701-8766
Mailing address
2427 SE 45TH AVE, PORTLAND, OR 97206-1611
(415) 314-1022
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
164986
OR
Other
Enumeration date
11/18/2013
Last updated
11/18/2013
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