NPI 1902732696

Tanner Busacker, NRP

Practitioner Paramedic Bend, OR

Practice location

Address: 62980 Boyd Acres Rd, Bend, OR 97701-8289
Phone: (541) 639-9993
Mailing address: 4107 E Overland Rd Unit B202, Meridian, ID 83642-8400

Registered specialties (5)

Paramedic Primary

Emergency Medical Service Providers Taxonomy 146L00000X Licence 210241 (OR)

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Registry record

NPI: 1902732696
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Jun 2026
Record last updated: 20 Jun 2026

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.