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Search › Oregon › 363LA2100X

Marivic Rustia

NPI 1376012104 · on the registry since 2018 · sole proprietor

Practice

Address
2222 Nw Lovejoy St Ste 411
Portland, OR 97210
Phone
(503) 413-5598
Organisation at this address
C.Todd Woolley Md Pc
Lester M Baskin Md Pc
Larry R. Thomas Md Llc
Samuel G Shiley Md Llc
Lovejoy Opticians Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
104

Registry record

Primary taxonomy
363LA2100X
363LA2100X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-10-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon