Provider Demographics
NPI:1134225261
Name:BUSCH, ANN M (RN, APRN,BC)
Entity type:Individual
Prefix:
First Name:ANN
Middle Name:M
Last Name:BUSCH
Suffix:
Gender:F
Credentials:RN, APRN,BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1310 STONEHAVEN DR
Mailing Address - Street 2:
Mailing Address - City:WEST LINN
Mailing Address - State:OR
Mailing Address - Zip Code:97068-1867
Mailing Address - Country:US
Mailing Address - Phone:503-699-1072
Mailing Address - Fax:
Practice Address - Street 1:3710 SW US VETERANS HOSPITAL RD
Practice Address - Street 2:P3TRANSPLANT
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97239-2964
Practice Address - Country:US
Practice Address - Phone:503-721-7860
Practice Address - Fax:503-273-5072
Is Sole Proprietor?:No
Enumeration Date:2006-09-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR364S00000X, 364ST0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered364S00000XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse Specialist
Not Answered364ST0500XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistTransplantation