Individual
MICHAEL JAMES RUSHTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
2830 10TH ST, BAKER CITY, OR 97814-1404
(541) 524-0122
(541) 524-2120
Mailing address
2830 10TH ST, BAKER CITY, OR 97814-1404
(541) 524-0122
(541) 524-2120
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
361600-0501
UT
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
DP00321
OR
332B00000X
Durable Medical Equipment & Medical Supplies
DP00321
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
226359
—
OR
Enumeration date
05/12/2006
Last updated
10/06/2014
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