Individual
MS. CYNTHIA KATHLEEN RUTTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN MS PMHNP
Contact information
Practice address
727 W BURNSIDE ST, PORTLAND, OR 97209-3514
(503) 228-7134
(888) 261-6655
Mailing address
2929 SW MULTNOMAH BLVD STE 102, PORTLAND, OR 97219-4070
(503) 288-1771
(888) 261-6655
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
200550034NP
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
200550034NP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
164936
—
OR
Enumeration date
10/25/2006
Last updated
06/25/2024
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