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Organization

CYNTHIA K RUTTO, PMHNP

Active
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Organization

CYNTHIA K RUTTO, PMHNP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. CYNTHIA KATHLEEN RUTTO RN,MS, PMHNP (PMHNP)
(503) 288-1771
Entity
Organization

Contact information

Practice address
2929 SW MULTNOMAH BLVD STE 102, PORTLAND, OR 97219-4070
(503) 288-1771
(188) 826-1665
Mailing address
2929 SW MULTNOMAH BLVD STE 102, PORTLAND, OR 97219-4070
(503) 288-1771
(188) 826-1665

Taxonomy

Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
200550034NP
OR
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
200550034NP
OR

Other

Enumeration date
12/09/2011
Last updated
12/09/2011
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