Provider Demographics
NPI:1871668905
Name:BUSCHUR, EVELYN (ND)
Entity Type:Individual
Prefix:DR
First Name:EVELYN
Middle Name:
Last Name:BUSCHUR
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:417 NE 2ND AVE
Mailing Address - Street 2:SUITE 118
Mailing Address - City:CAMAS
Mailing Address - State:WA
Mailing Address - Zip Code:98607-1628
Mailing Address - Country:US
Mailing Address - Phone:360-844-9034
Mailing Address - Fax:360-838-0438
Practice Address - Street 1:417 NE 2ND AVE
Practice Address - Street 2:
Practice Address - City:CAMAS
Practice Address - State:WA
Practice Address - Zip Code:98607-1628
Practice Address - Country:US
Practice Address - Phone:360-844-9034
Practice Address - Fax:360-838-0438
Is Sole Proprietor?:No
Enumeration Date:2006-11-22
Last Update Date:2016-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR1243175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath