NPI 1174975072

Kristopher David Buska

Practitioner Pharmacy Technician Portland, OR

Practice location

Address: 1132 SW 13th Ave, Portland, OR 97205-1703
Phone: (503) 535-3888

Registered specialties

Pharmacy Technician Primary

Pharmacy Service Providers Taxonomy 183700000X Licence CPT-0007615 (OR)

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Registry record

NPI: 1174975072
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Jul 2016
Record last updated: 5 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.