Individual
ROXANNE RUST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.P.
Contact information
Practice address
301 W. NORTH BEND WAY, SUITE 201, NORTH BEND, WA 98045
(425) 429-1444
Mailing address
P.O. BOX 195, NORTH BEND, WA 98045
(425) 429-1444
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00017435
WA
Other
Enumeration date
12/27/2006
Last updated
04/05/2017
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