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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

JEREMY BUSACK
NPI 1306766415
Student in an Organized Health Care Education/Training Program in Portland, OR

Active since July 18, 2026
905 SE 14TH AVE, PORTLAND, OR 97214(208) 703-6854 Get Directions Write a Review

NPPES record added: July 23, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 23, 2026, Jul 18, 2026 (2 updates tracked since 2026).

About Jeremy Busack NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEREMY BUSACK (NPI 1306766415) is an individual student in an organized health care education/training program in Portland, Oregon and active in the NPI registry since July 2026.

NPPES Registry Identity

NPI1306766415
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJEREMY BUSACK
Location Address905 SE 14TH AVEPortland, OR 97214-2549
Mailing Address2990 S Magnolia DrCornelius, OR 97113-7156
Phone(208) 703-6854
Sole ProprietorYes
Enumeration DateJuly 18, 2026
Last NPPES UpdateJuly 23, 20262 updates tracked since enumeration
NPPES CertifiedJuly 23, 2026
✔ NPI 1306766415 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
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.
905 SE 14TH AVE, Portland, OR 97214
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CELINA SUSANA CASTILLO CHAVEZ
Counselor (Mental Health)
905 SE 14TH AVE
PORTLAND, OR 97214
Multnomah County (503) 622-8964
SHANNON TRUBATCH
Student in an Organized Health Care Education/Training Program
905 SE 14TH AVE
PORTLAND, OR 97214
Multnomah County (503) 622-8964
KHEFRI AZURE
Social Worker
905 SE 14TH AVE
PORTLAND, OR 97214
Multnomah County (503) 622-8964
HANNAH PHYL WESTBROCK
Counselor (Mental Health)
905 SE 14TH AVE
PORTLAND, OR 97214
Multnomah County (503) 622-8964
JENNIFER NOEL EBY
Counselor (Mental Health)
905 SE 14TH AVE
PORTLAND, OR 97214
Multnomah County (503) 622-8964
JESSICA GRUENSTEIN MA
Counselor (Mental Health)
905 SE 14TH AVE
PORTLAND, OR 97214
Multnomah County (503) 622-8964
RONALD BROWN
Counselor (Mental Health)
905 SE 14TH AVE
PORTLAND, OR 97214
Multnomah County (971) 716-2173
ABEYTAX BARANA LPCA
Counselor (Mental Health)
905 SE 14TH AVE
PORTLAND, OR 97214
Multnomah County (503) 622-8964

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeremy Busack's NPI number?

The NPI number for Jeremy Busack is 1306766415. It was assigned to this individual provider in the NPPES registry on July 18, 2026.

Where is Jeremy Busack located?

Jeremy Busack practices at 905 SE 14th Ave, Portland, OR 97214. The listed phone number is (208) 703-6854.

What is Jeremy Busack's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Jeremy Busack was last updated on July 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.