NPI 1003268640
Micaela Busack
Practice location
- Address
- 3415 SE Powell Blvd, Portland, OR 97202-3371
- Phone
- (503) 234-9591
Registered specialties
Case Manager/Care Coordinator
Primary
Registry record
- NPI
- 1003268640
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 7 Jul 2016
- Record last updated
- 7 Jul 2016
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.