Individual
ANDREA F BUSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
107 N 8TH ST, SHELTON, WA 98584-2513
(360) 426-9717
(360) 426-9750
Mailing address
PO BOX 11009, OLYMPIA, WA 98508-1009
(360) 352-2037
(360) 352-0637
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
PA10000465
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0132053
L&I
WA
05
—
8473084
—
WA
01
—
CJ4651
MEDICARE RR
WA
Enumeration date
10/04/2006
Last updated
01/10/2008
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