Individual
PAUL D RUESCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6542 SE LAKE RD, SUITE 201, MILWAUKIE, OR 97222-2237
(503) 659-1769
(503) 659-7522
Mailing address
6542 SE LAKE RD, SUITE 201, MILWAUKIE, OR 97222-2237
(503) 659-1769
(503) 659-7522
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD24463
OR
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
MD24663
OR
Other
Enumeration date
07/07/2006
Last updated
05/14/2012
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