Individual
DR. DOUGLAS A. RUST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3970 MERCANTILE DR STE 140, LAKE OSWEGO, OR 97035-3527
(503) 626-6800
(503) 626-5090
Mailing address
11673 SW BEAVERTON HILLSDALE HWY, BEAVERTON, OR 97005-2928
(503) 644-8080
(503) 644-8454
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D5649
OR
Other
Enumeration date
08/26/2005
Last updated
09/12/2023
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