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NPI Code Detail

MEDICARE: JOANNE RUTLAND PMHNP

MEDICARE: JOANNE RUTLAND PMHNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WP0808XPsychiatric/Mental Health Registered Nurse099000440RNOR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1841284916
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOANNE RUTLAND PMHNP
Provider Business Mailing Address
First Line : 1975 MCPHERSON ST
Second Line : SUITE 2
City : NORTH BEND
State : OR
Zip : 97459-3482
Country : US
Telephone Number : 541-756-2020
Fax Number :
Provider Business Practice Location Address
First Line : 1975 MCPHERSON ST
Second Line : SUITE 2
City : NORTH BEND
State : OR
Zip : 97459-3482
Country : US
Telephone Number : 541-756-2020
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/06/2005
Last Update Date : 07/08/2007

Similar Medicare Providers

1205047115 — DR. NEVILLE CORDELL QMHP, MD
Practice Location Address:
1975 MCPHERSON ST , SUITE 2
NORTH BEND, OR
97459-3482
Practice Phone: 541-756-2020
Practice Fax: 541-756-8982
1083685614 — KATHERINE W PARKER L.C.S.W.
Practice Location Address:
1975 MCPHERSON ST , SUITE 2
NORTH BEND, OR
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1770793820 — MRS. CARIN BEESLEY QMHA
Practice Location Address:
1975 MCPHERSON ST , SUITE 2
NORTH BEND, OR
97459-3482
Practice Phone: 541-756-2020
Practice Fax: 541-756-8982
1265642326 — MS. CINDY DICKINSON QMHA
Practice Location Address:
1975 MCPHERSON ST , SUITE 2
NORTH BEND, OR
97459-3482
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Practice Fax: 541-756-8982
1003026196 — MS. DIANE BOYCE QMHP
Practice Location Address:
1975 MCPHERSON ST , SUITE 2
NORTH BEND, OR
97459-3482
Practice Phone: 541-756-2020
Practice Fax: 541-756-8982
1689884892 — MR. BRUCE SWANSON QMHP
Practice Location Address:
1975 MCPHERSON ST , SUITE 2
NORTH BEND, OR
97459-3482
Practice Phone: 541-751-7265
Practice Fax: 541-756-8982

Directions to “ JOANNE RUTLAND PMHNP” Practice Location

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