Individual provider · Type 1 NPI
Randall David Rugg, PMHNP
Psychiatric/Mental Health Nurse Practitioner · Portland, OR
NPI number
1467187633
Active
Practice location
7105 SW Varns St Ste 270
Portland, OR 97223-8173
Mailing address
4207 SE Woodstock Blvd # 429
Portland, OR 97206-6267
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 202210677NP-PP (OR) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
2 other providers at this address
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About NPI 1467187633
Randall David Rugg, PMHNP's National Provider Identifier is 1467187633, issued on Jul 20, 2022. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Portland, OR. The record was last updated on Jul 20, 2022.