Individual
AISHA RUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3415 SE POWELL BLVD, PORTLAND, OR 97202-3396
(503) 205-4365
Mailing address
3415 SE POWELL BLVD, PORTLAND, OR 97202-3396
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
OR
101Y00000X
Counselor
—
—
Other
Enumeration date
02/08/2022
Last updated
02/08/2022
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