Individual
DR. RAVI BUSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
419 NW 23RD AVE, STE 102, PORTLAND, OR 97210-3470
(503) 224-2273
(503) 224-1176
Mailing address
419 NW 23RD AVE, STE 102, PORTLAND, OR 97210-3470
(503) 224-2273
(503) 224-1176
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D7809
OR
Other
Enumeration date
07/14/2006
Last updated
04/16/2017
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