Individual
ROBERT J BUSTAMANTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
770 E 11TH AVE, EUGENE, OR 97401-3746
(541) 228-6425
(541) 338-1652
Mailing address
1115 SE 164TH AVE DEPT 358, VANCOUVER, WA 98683-8004
(360) 729-1459
(360) 729-3066
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
10/18/2017
Last updated
11/09/2017
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