Individual
KRISTIN RUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
37875 JASPER LOWELL RD, JASPER, OR 97438-9751
(541) 747-1235
Mailing address
912 W 4TH AVE, EUGENE, OR 97402-5499
(619) 504-5223
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/22/2013
Last updated
11/22/2013
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