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Marivic Rustia
Acute Care Nurse Practitioner in Portland, Oregon
NPI 1376012104

Marivic Rustia is an Acute Care Nurse Practitioner based in Portland, OR and is specialized in Acute Care. Marivic Rustia practices in Portland, OR. The NPI Number for Marivic Rustia is 1376012104 and holds a License No. AP139794 (Oregon).

The current practice location address for Marivic Rustia is 2222 Nw Lovejoy St Ste 411, Portland, OR and can be reached out via phone at 503-413-5598.

Location: 2222 Nw Lovejoy St Ste 411, Portland, OR, 97201-5387
person
Provider Profile Details
NPI Number
1376012104
Provider Name
Marivic Rustia
Credential
Provider Entity Type
Individual
Gender
Female
Address
2222 Nw Lovejoy St Ste 411, Portland, OR, 97201-5387
Phone Number
503-413-5598
Fax Number
Provider Enumeration Date
11/21/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2222 Nw Lovejoy St Ste 411
City
State
Zip
97210-5102
Phone Number
503-413-5598
Fax Number
person
Provider Business Mailing Address Details
Address
2222 Nw Lovejoy St Ste 411
City
State
Zip
97210-5102
Phone Number
503-413-5598
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Acute Care
Taxonomy
License No.
AP139794 (Texas)
Definition
Definition to come...
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