MARIVIC RUSTIA

PORTLAND, OR
NPI1376012104
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: TX  AP139794)
Enumeration Date2018-11-21
Last Update Date2021-10-12
Business Address
MARIVIC RUSTIA
2222 NW LOVEJOY ST STE 411
PORTLAND, OR 97210-5102
Phone number: 503-413-5598
Mailing Address
MARIVIC RUSTIA
255 SW HARRISON ST APT 11D
PORTLAND, OR 97201-5387
Phone number: 682-240-5523
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