Individual
TRAVIS RUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
609 W 10TH ST, MEDFROD, OR 97501
(541) 774-4810
Mailing address
609 W 10TH ST, MEDFORD, OR 97501
(541) 774-4810
(541) 476-1526
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/14/2016
Last updated
08/22/2017
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