Individual
BRADLEY K BUSEY II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNPC
Contact information
Practice address
1880 LANCASTER DR NE STE 104, SALEM, OR 97305-1040
(971) 273-0679
Mailing address
1880 LANCASTER DR NE STE 104, SALEM, OR 97305-1040
(971) 273-0679
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201707058NP-PP
OR
363LP2300X
Primary Care Nurse Practitioner
201707058NP-PP
OR
Other
Enumeration date
09/29/2016
Last updated
11/21/2023
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