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General NPI Number Information
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NPI Number | 1811885320
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Entity Type | Organization
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Legal Business Name | DR. LILIANA RUTO'S MOBILE HEALTH CLINIC AND DISPENSARY PLLC DHH-DNM
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Dates
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Enumeration Date | 06/24/2025
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Last Update Date | 06/24/2025
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Provider Practice Location Address
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Address Line | 2367 TACOMA AVE S STE 120
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City | TACOMA
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State | WA
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Zip | 98402-1409
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Country | US
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Telephone | 253-220-6191
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 4521
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City | FEDERAL WAY
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State | WA
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Zip | 98063-4521
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Country | US
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Telephone | 253-220-6191
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. LILIANA ARIELA ESTRADA RUTO
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Credential | ND, DHH, DNM , BCIP
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Telephone | 253-220-6191
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 175F00000X
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Taxonomy Name | Naturopath
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QM1000X
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Taxonomy Name | Migrant Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 282J00000X
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Taxonomy Name | Religious Nonmedical Health Care Institution
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 3336M0002X
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Taxonomy Name | Mail Order Pharmacy
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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