Individual
RICHARD C BUSBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9155 SW BARNES RD, SUITE 532, PORTLAND, OR 97225-6625
(503) 488-2344
(503) 488-2360
Mailing address
847 NE 19TH AVE, SUITE 300, PORTLAND, OR 97232-2684
(503) 963-2801
(503) 963-2825
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD14820
OR
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
MD14820
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
096164
—
OR
05
—
1720049299
—
WA
Enumeration date
03/31/2006
Last updated
10/09/2013
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