Individual
MR. SCOTT R RUCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
104 SW. KINKADE RD, BOARDMAN, OR 97818
(541) 481-2911
(541) 481-2006
Mailing address
P.O. BOX 261, BOARDMAN, OR 97818
(541) 481-2911
(541) 481-2006
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/28/2016
Last updated
10/28/2016
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