Rush Raven

NPI #1275081085 in Ontario, Oregon

Provider Information

NPI Number: 1275081085
Entity Type: Individual
Name: Rush Raven
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Enumeration Date: Sep 21, 2016
Last Updated: Sep 21, 2016

Practice Location

Address: 702 SUNSET DR
City: Ontario
State: Oregon
ZIP Code: 97914-3121
Phone: (541) 889-9167

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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