Individual
MAYRA ALEJANDRA BUSTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
226 SE 8TH AVE, HILLSBORO, OR 97123-4218
(503) 601-7385
(503) 601-7311
Mailing address
PO BOX 6149, ALOHA, OR 97007-0149
(503) 352-8657
(503) 352-8658
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
202009232NP-PP
OR
Other
Enumeration date
07/15/2020
Last updated
10/19/2020
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