Organization
MILWAUKIE ORTHOPEDIC SERVICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL D RUESCH M.D. (PRESIDENT)
(503) 659-1769
Entity
Organization
Contact information
Practice address
10202 SE 32ND AVE, SUITE 101, MILWAUKIE, OR 97222-3610
(503) 659-1769
(503) 659-7522
Mailing address
10202 SE 32ND AVE, SUITE 101, MILWAUKIE, OR 97222-3610
(503) 659-1769
(503) 659-7522
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
Other
Enumeration date
04/08/2009
Last updated
04/08/2009
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