Individual
RYAN JEAN RUSHTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
707 SW GAINES ST, CDRC-OHSU, PORTLAND, OR 97239-2901
(503) 418-0290
Mailing address
2175 SW 194TH AVE, ALOHA, OR 97006-2655
(503) 642-9261
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
05366
OR
Other
Enumeration date
05/07/2007
Last updated
07/08/2007
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