RANDALL DAVID RUGG

PORTLAND, OR
NPI1467187633
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: OR  202210677NP-PP)
Enumeration Date2022-07-20
Last Update Date2022-07-20
Business Address
Mr. RANDALL DAVID RUGG PMHNP
7105 SW VARNS ST STE 270
PORTLAND, OR 97223-8173
Phone number: 503-389-1500
Mailing Address
Mr. RANDALL DAVID RUGG PMHNP
4207 SE WOODSTOCK BLVD # 429
PORTLAND, OR 97206-6267
Phone number: 503-682-5000
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