Individual
DR. GRANT M RUSIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
940 COUNTRY CLUB RD, EUGENE, OR 97401-2208
(541) 344-2600
(541) 344-3317
Mailing address
38508 PLACE RD, FALL CREEK, OR 97438-9711
(541) 937-1700
(541) 937-1292
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD22519
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
288156
—
OR
Enumeration date
11/11/2006
Last updated
07/09/2007
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