Agustinus Rushanaedy
ActiveCalifornia license A41710
License
- Licensed by
- Medical Board of California
- License number
- A41710
- Status
- Active (Current)
- First issued
- April 29, 1985
- Expires
- April 30, 2027
- License holder
- Agustinus Rushanaedy
- Entity type
- Individual
Classifications
- Physician and Surgeon A Physicians & Surgeons
More from the license record
- License type code
- 8002
Contact
4598 NW Oxbridge Dr
Portland, OR 97229-9359
Portland, OR 97229-9359
Washington County