Individual
DR. JEANNE L. RUPERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
3927 RUCKER AVE, EVERETT, WA 98201
(425) 339-5422
(425) 339-5444
Mailing address
PO BOX 5127, EVERETT, WA 98206-5127
(425) 339-5422
(425) 339-5444
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
20A8072
CA
207Q00000X
Family Medicine Physician
Primary
OP60261412
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
292264
LABOR & INDUSTRIES
WA
Enumeration date
03/15/2006
Last updated
10/15/2019
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