Organization
MARK J RUSHFORD DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK J RUSHFORD DDS (PRESIDENT)
(503) 223-0441
Entity
Organization
Contact information
Practice address
833 SW 11TH, STE 1018, PORTLAND, OR 97205
(503) 223-0441
(503) 225-5556
Mailing address
833 SW 11TH, STE 1018, PORTLAND, OR 97205
(503) 223-0441
(503) 225-5556
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
D3582
OR
122300000X
Dentist
Primary
D7314
OR
Other
Enumeration date
10/31/2006
Last updated
08/22/2020
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