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Carissa Bussard

NPI 1730666496 · on the registry since 2018

Practice

Address
1103 Ne Elm St Ste B
Prineville, OR 97754
Phone
(541) 323-5330
Clinicians at this address
29

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
NULL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-07-25

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon