Organization
GORGE VALLEY MEDICINE, LLC
Active
Organization
GORGE VALLEY MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANN M RUST MD (OWNER)
(541) 965-9164
Entity
Organization
Contact information
Practice address
1631 WOODS CT STE 103, HOOD RIVER, OR 97031-2916
(541) 346-3880
Mailing address
517 BROWNS RD, GOLDENDALE, WA 98620-2325
(541) 965-9164
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
05/01/2019
Last updated
05/01/2019
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