Individual
DENI R BUSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
16083 SW UPPER BOONES FERRY RD STE 130, TIGARD, OR 97224-7737
(503) 449-6939
(503) 477-5865
Mailing address
5914 SW GUNTHER LN, PORTLAND, OR 97219-7125
(503) 449-6939
(503) 598-3980
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7324
OR
Other
Enumeration date
02/02/2017
Last updated
09/11/2018
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