J M Bussanich, LLC
NPI #1760758361 in Lake Oswego, Oregon
Provider Information
- NPI Number
- 1760758361
- Entity Type
- Organization
- Organization Name
- J M Bussanich, LLC
- Primary Specialty
- Chiropractor
- Enumeration Date
- Mar 28, 2012
- Last Updated
- Mar 28, 2012
Practice Location
- Address
- 14511 WESTLAKE DR
- Address 2
- SUITE 148
- City
- Lake Oswego
- State
- Oregon
- ZIP Code
- 97035-7783
- Phone
- (503) 620-2353
Authorized Official
- Name
- DR. JASON BUSSANICH, D.C.
- Title
- OWNER/PROVIDER
- Phone
- (503) 620-2353
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
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