SUSAN RUSTVOLD

PORTLAND, OR
NPI1609933571
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: OR  D6306)
Enumeration Date2007-01-02
Last Update Date2007-07-08
Business Address
Dr. SUSAN RUSTVOLD DMD
3600 N INTERSTATE AVE
PORTLAND, OR 97227-1106
Phone number: 503-331-5120
Mailing Address
Dr. SUSAN RUSTVOLD DMD
1253 SE RIVER FOREST LN
MILWAUKIE, OR 97267-3606
Phone number: 503-659-5246
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