Organization
PAUL D. RUESCH, MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL D RUESCH M.D. (PHYSICIAN)
(503) 659-1769
Entity
Organization
Contact information
Practice address
6542 SE LAKE RD, SUITE 201, MILWAUKIE, OR 97222-2244
(503) 659-1769
(503) 659-7522
Mailing address
6542 SE LAKE RD, SUITE 201, MILWAUKIE, OR 97222-2244
(503) 659-1769
(503) 659-7522
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD24663
OR
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
MD24663
OR
Other
Enumeration date
04/12/2007
Last updated
05/14/2012
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