| Mark J Rushford Dds Pc | |
|
833 Sw 11th Ste 1018 Portland OR 97205 | |
| (503) 223-0441 | |
| (503) 225-5556 |
| Full Name | Mark J Rushford Dds Pc |
|---|---|
| Speciality | Dentist |
| Location | 833 Sw 11th, Portland, Oregon |
| Authorized Official Name and Position | Mark J Rushford (PRESIDENT) |
| Authorized Official Contact | 5032230441 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark J Rushford Dds Pc 833 Sw 11th Ste 1018 Portland OR 97205 Ph: (503) 223-0441 | Mark J Rushford Dds Pc 833 Sw 11th Ste 1018 Portland OR 97205 Ph: (503) 223-0441 |
| NPI Number | 1073699245 |
|---|---|
| Provider Enumeration Date | 10/31/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073699245 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D7314 (Oregon) | Primary |
| 122300000X | Dentist | D3582 (Oregon) | Secondary |
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