Individual
LEE'OR T. RUTENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
601 BROADWAY STE 600, SEATTLE, WA 98122-5330
(206) 386-6171
(206) 860-6634
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA60794313
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2090608
—
WA
Enumeration date
09/08/2016
Last updated
01/12/2026
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