Individual provider · Type 1 NPI

Mark Pusung

Student in an Organized Health Care Education/Training Program · Portland, OR

NPI number 1003790247 Active

Practice location

2730 S Moody Ave
Portland, OR 97201-5042

Call (503) 494-8428 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

163 other providers at this address

Other student in an organized health care education/training program providers in Portland

See all in Portland →

About NPI 1003790247

Mark Pusung's National Provider Identifier is 1003790247, issued on Aug 1, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Portland, OR. The record was last updated on Aug 1, 2025.