Individual
KELLY LYNN RUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
540 S MAIN ST, MOUNT ANGEL, OR 97362-9540
(503) 845-6841
(503) 845-9229
Mailing address
540 S MAIN ST, MOUNT ANGEL, OR 97362-9540
(503) 845-6841
(503) 845-9229
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
993685
OR
Other
Enumeration date
06/04/2008
Last updated
06/04/2008
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