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Individual

DUSTIN RUSHING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
10200 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-8969
(866) 413-1575
Mailing address
702 E 22ND ST, VANCOUVER, WA 98663-3211
(360) 721-2070

Taxonomy

Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
WE HAVE NO NUMBER
OR

Other

Enumeration date
03/14/2012
Last updated
03/14/2012
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