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Search › Washington › 101Y00000X

Rusty Lister

NPI 1902421506 · on the registry since 2020

Practice

Address
1305 Tacoma Ave S Ste 305
Tacoma, WA 98402
Phone
(479) 352-0128
Organisation at this address
County Of Pierce
Comprehensive Mental Health
Inferred from a shared address, not stated in the registry.
Clinicians at this address
226

Registry record

Primary taxonomy
101Y00000X
101Y00000X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-06-10

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 Washington