Individual
DENISE KUST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RNFA
Contact information
Practice address
16298 SW BURNTWOOD WAY, BEAVERTON, OR 97007-4870
(503) 799-0984
Mailing address
16298 SW BURNTWOOD WAY, BEAVERTON, OR 97007-4870
(503) 799-0984
Taxonomy
Speciality
Code
Description
License number
State
163WS0121X
Plastic Surgery Registered Nurse
Primary
201404454RN
OR
Other
Enumeration date
08/17/2018
Last updated
08/17/2018
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