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Individual

DR. KATHERINE RUTHERFORD

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
WHCNP

Contact information

Practice address
700 RAMSEY AVE, GRANTS PASS, OR 97527-5786
(541) 479-8363
(541) 476-2841
Mailing address
700 RAMSEY AVE, GRANTS PASS, OR 97527-5788
(541) 479-8363
(541) 476-2841

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
079038198N7
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
053616
OR
Enumeration date
07/21/2005
Last updated
07/08/2007
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