Individual
TARA ROSE BUSCHOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
11567 CANTERWOOD BLVD, GIG HARBOR, WA 98332-5812
(253) 426-6341
(253) 426-6344
Mailing address
11567 CANTERWOOD BLVD, GIG HARBOR, WA 98332-5812
(253) 426-6341
(253) 426-6344
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
OP61150673
WA
208M00000X
Hospitalist Physician
Primary
OP61150673
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2189300
—
WA
Enumeration date
06/01/2016
Last updated
08/15/2024
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