Individual
DR. JOHN B. RUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
94225 4TH STREET, GOLD BEACH, OR 97444-7756
(541) 247-7212
Mailing address
PO BOX 1108, GOLD BEACH, OR 97444-1108
(541) 247-7212
(541) 247-0490
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1111ATI
OR
Other
Enumeration date
07/21/2006
Last updated
07/08/2007
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