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DR. SUSAN RUSTVOLD DMD
NPI 1609933571
Dentist - General Practice in Portland, OR

Active since January 02, 2007
3600 N INTERSTATE AVE, PORTLAND, OR 97227(503) 331-5120(503) 331-5118 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Susan Rustvold Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SUSAN RUSTVOLD DMD (NPI 1609933571) is an individual general practice provider in Portland, Oregon, licensed in Oregon (D6306) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1609933571
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. SUSAN RUSTVOLDCredential: DMD
Location Address3600 N INTERSTATE AVEPortland, OR 97227-1106
Mailing Address1253 Se River Forest LnMilwaukie, OR 97267-3606 · (503) 659-5246
Phone(503) 331-5120
Fax(503) 331-5118
Sole ProprietorYes
Enumeration DateJanuary 2, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1609933571 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in OR · D6306
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
3600 N INTERSTATE AVE, Portland, OR 97227
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DAVID WEI KUO LIN M.D.
Otolaryngology
3600 N INTERSTATE AVE, INTERSTATE MEDICAL OFFICE CENTRAL
PORTLAND, OR 97227
Multnomah County (503) 331-6085
DR. LYNETTE SANTOS MALIK M.D.
Physical Medicine & Rehabilitation (Sports Medicine)
3600 N INTERSTATE AVE, DEPARTMENT OF PHYSICAL MEDICINE
PORTLAND, OR 97227
Multnomah County (503) 331-3070
DR. RYO A. SHOHARA M.D.
Internal Medicine (Hematology & Oncology)
3600 N INTERSTATE AVE
PORTLAND, OR 97227
Multnomah County (503) 331-6500
JOHANNA R HEYMANN RN, LCSW
Social Worker (Clinical)
3600 N INTERSTATE AVE
PORTLAND, OR 97227
Multnomah County (503) 213-8000
DR. SARI JOUIHAN MS, PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
3600 N INTERSTATE AVE
PORTLAND, OR 97227
Multnomah County (503) 504-4203
THOMAS HUGH GIBBS O.D.
Optometrist
3600 N INTERSTATE AVE
PORTLAND, OR 97227
Multnomah County (503) 249-3449
DR. CATALINA HERNANDEZ TORRES MD
Internal Medicine (Hematology & Oncology)
3600 N INTERSTATE AVE
PORTLAND, OR 97227
Multnomah County (800) 813-2000
ANTONY MATHEW POOTHULLIL MD
Ophthalmology
3600 N INTERSTATE AVE
PORTLAND, OR 97227
Multnomah County (503) 331-6330

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Susan Rustvold's NPI number?

The NPI number for Susan Rustvold is 1609933571. It was assigned to this individual provider in the NPPES registry on January 2, 2007.

Where is Susan Rustvold located?

Susan Rustvold practices at 3600 N Interstate Ave, Portland, OR 97227. The listed phone number is (503) 331-5120.

What is Susan Rustvold's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Susan Rustvold was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.