Jeremy Busack
Jeremy Busack is a Student in an Organized Health Care Education/Training Program in Portland, Oregon. Practices as a sole proprietor. Registered with an NPI since 2026.
- In the registry since
- 2026
Practice location Address checks out
905 SE 14th AvePortland, OR 97214-2549
Phone: (208) 703-6854
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1306766415 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | July 18, 2026 |
| Last updated in NPPES | July 23, 2026 |
| Certification date | July 23, 2026 |
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