Individual
LESLIE GRUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3710 SW US VETERANS HOSPITAL RD, P5-NCRAR, PORTLAND, OR 97239-2964
(503) 220-8262
Mailing address
3710 SW US VETERANS HOSPITAL RD, P5 - NCRAR, PORTLAND, OR 97239-2964
(503) 220-8262
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
30827
OR
Other
Enumeration date
07/24/2015
Last updated
01/11/2016
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