Individual
DEBORAH L RUTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
44 N 11TH AVE, CORNELIUS, OR 97113-9020
(503) 359-8505
Mailing address
PO BOX 568, CORNELIUS, OR 97113-0568
(503) 359-5564
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D6782
OR
Other
Enumeration date
05/27/2006
Last updated
07/08/2007
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