Individual
DR. ANN MARIE RUST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
610 NW 11TH ST, HERMISTON, OR 97838-6601
(541) 667-3400
Mailing address
517 BROWNS RD, GOLDENDALE, WA 98620-2325
(541) 965-9164
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
01081692A
IN
208600000X
Surgery Physician
4781
NE
208600000X
Surgery Physician
Primary
60671183
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
023592
—
OR
05
—
1091799
—
WA
Enumeration date
04/16/2007
Last updated
07/21/2022
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