Individual
TOBIAS PUSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9155 SW BARNES RD STE 638, PORTLAND, OR 97225-6633
(503) 216-7000
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
M7541
TX
207RI0200X
Infectious Disease Physician
Primary
MD167734
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1941965-01
—
TX
05
—
500671937
—
OR
Enumeration date
08/15/2007
Last updated
03/24/2021
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