# GRANT M RUSIN MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801184387
- **Authorized official:** DR. GRANT M RUSIN MD (OWNER)
- **Authorized official phone:** (541) 937-1700

## Contact information

- **Practice address:** 940 COUNTRY CLUB RD, EUGENE, OR 97401-2208
- **Practice address phone:** (541) 344-2600
- **Practice address fax:** (541) 344-3317
- **Mailing address:** 38508 PLACE RD, FALL CREEK, OR 97438-9711
- **Mailing address phone:** (541) 937-1700
- **Mailing address fax:** (541) 937-1292

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | MD22519 | OR | Yes |

## Other

- **Enumeration date:** 07/18/2011
- **Last updated:** 07/18/2011