Micaela Busack

NPI #1003268640 in Portland, Oregon

Provider Information

NPI Number
1003268640
Entity Type
Individual
Name
Micaela Busack
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Case Manager/Care Coordinator
Enumeration Date
Jul 7, 2016
Last Updated
Jul 7, 2016

Practice Location

Address
3415 SE POWELL BLVD
State
Oregon
ZIP Code
97202-3371
Phone
(503) 234-9591

Specialties & Taxonomy Codes

Specialty
Case Manager/Care Coordinator

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