Individual
DAVID RUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.R.M
Contact information
Practice address
537 SE ALDER ST, PORTLAND, OR 97214-2231
(503) 575-8731
Mailing address
3910 SE STARK ST, PORTLAND, OR 97214-3241
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
15-CRM-124
OR
Other
Enumeration date
09/14/2015
Last updated
09/14/2015
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