Doctor Name: | MS. PATRICIA L RUSHON |
NPI Number: | 1538390059 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. CCC-SLP (ASHA) |
License Number: | LL00001214 |
Business Practice Address: | 560 Lebo Blvd. Bremerton, WA - 98310 |
Business Phone Number: | 3604791515 |
Business Fax Number: | |
Mailing Address: | 4560 Se International Way, Ste 100 MILWAUKIE |
State: | OR |
Postal Code: | 97222 |
Phone Number: | 9712065200 |
Fax Number: | 9712065203 |
NPI Enumeration Date: | 07/31/2009 |
NPI Last Update Date: | 07/31/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | LL00001214 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |