Busch, Amy Ann

Busch, Amy Ann is an individual health care provider with primary practice located at 707 Sw Gaines St , Portland OR 97239-2901. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Busch, Amy Ann can be contacted via phone (253) 548-5619.

Contact Information

Primary practice address
707 Sw Gaines St Portland OR 97239-2901
Phone: (253) 548-5619
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 016399 Oregon

Profile Details

NPI number 1164905279
LBN Legal business name Busch, Amy Ann
Credentials MS, CF-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2018
Last updated Sep 13th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164905279 NPPES
Oregon Other 016399 SPEECH-LANGUAGE PATHOLOGY CONDITIONAL LICENSE

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