Individual
MRS. BRITTANY RUTHERFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
1118 OAK ST SE, SALEM, OR 97301-4019
(503) 585-4949
Mailing address
1118 OAK ST SE, SALEM, OR 97301-4019
(503) 585-4949
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
251K00000X
Public Health or Welfare Agency
—
—
Other
Enumeration date
04/22/2017
Last updated
06/29/2017
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