OrganizationActive
Bushnell University
NPI 1487020640 · Pediatric Sports Medicine Physician · Eugene, OR
Provider details
- NPI number
- 1487020640
- Entity type
- Organization
- Primary specialty
- Pediatric Sports Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mouzon Bass, Agent(972) 367-4845
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
828 E 11th Ave
Eugene, OR 97401-3745
Phone: (541) 684-7351
Fax: (972) 367-3451
Approximate (ZIP-level) locationGet directions
Mailing address
5050 Spring Valley Rd
Dallas, TX 75244-3995
Other names (DBA / former)
- Former legal business name
- Northwest Christian University
Registry dates
- Enumerated
- 2015-08-11
- Last updated
- 2020-08-12
- Certified
- 2020-08-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.