Active NPI
Dustin Rushing
- Technician/Technologist
- Clackamas, OR
National Provider Identifier
1316212095
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Technician/Technologist
- License
- WE HAVE NO NUMBER
- Practice address
- 10200 SE Sunnyside Rd
Clackamas, OR 97015-8969 - Phone
- (866) 413-1575
- NPI assigned
- Mar 14, 2012
- Last updated
- Mar 14, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Technician/Technologist | 156F00000X | WE HAVE NO NUMBER | OR | Primary |
Addresses
Primary practice location
10200 SE Sunnyside Rd
Clackamas, OR 97015-8969
Mailing address
702 E 22ND St
Vancouver, WA 98663-3211
Phone (360) 721-2070
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| WE HAVE NO NUMBER | OR | MD | Technician/Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1331683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1331683200000",
"number": "1316212095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "702 E 22ND ST",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986633211",
"telephone_number": "360-721-2070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10200 SE SUNNYSIDE RD",
"city": "CLACKAMAS",
"state": "OR",
"postal_code": "970158969",
"telephone_number": "866-413-1575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSHING",
"first_name": "DUSTIN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-03-14",
"last_updated": "2012-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "156F00000X",
"taxonomy_group": "",
"desc": "Technician/Technologist",
"state": "OR",
"license": "WE HAVE NO NUMBER",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clackamas, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.