# CYNTHIA K RUTTO, PMHNP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174891782
- **Authorized official:** MS. CYNTHIA KATHLEEN RUTTO RN,MS, PMHNP (PMHNP)
- **Authorized official phone:** (503) 288-1771

## Contact information

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

## Taxonomy

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

## Other

- **Enumeration date:** 12/09/2011
- **Last updated:** 12/09/2011