Busch, Mary Denise

Busch, Mary Denise is an individual health care provider with primary practice located at 226 Se 8Th Ave , Hillsboro OR 97123-4218. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Busch, Mary Denise can be contacted via phone (503) 601-7400.

Contact Information

Primary practice address
226 Se 8Th Ave Hillsboro OR 97123-4218
Phone: (503) 601-7400
Fax: (503) 601-7311
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 097006687N6PMHNP-PP Oregon
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 201050124NP Oregon

Profile Details

NPI number 1235219726
LBN Legal business name Busch, Mary Denise
Credentials PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2006
Last updated May 15th, 2019 - about 7 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 1235219726 NPPES
Oregon MEDICAID 500627319

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