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General NPI Number Information
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NPI Number | 1346325883
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Entity Type | Individual
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Provider Name | CYNTHIA KATHLEEN RUTTO RN MS PMHNP
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Gender | Female
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Dates
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Enumeration Date | 10/25/2006
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Last Update Date | 06/25/2024
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Provider Practice Location Address
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Address Line | 727 W BURNSIDE ST
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City | PORTLAND
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State | OR
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Zip | 97209-3514
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Country | US
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Telephone | 503-228-7134
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Fax | 888-261-6655
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Provider Business Mailing Address
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Address Line | 2929 SW MULTNOMAH BLVD STE 102
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City | PORTLAND
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State | OR
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Zip | 97219-4070
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Country | US
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Telephone | 503-288-1771
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Fax | 888-261-6655
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WP0807X
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Taxonomy Name | Child & Adolescent Psychiatric/Mental Health Registered Nurse
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License Number | 200550034NP
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 200550034NP
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License Number State | OR
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