Individual
MS. JARUSHA KUTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
1172 NE MORTON ST, PORTLAND, OR 97211-4158
(503) 683-2109
(971) 245-1736
Mailing address
3519 NE 15TH AVE # 576, PORTLAND, OR 97212-2356
(503) 683-2109
(971) 245-1736
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
201050166NP
OR
Other
Enumeration date
09/09/2010
Last updated
08/08/2023
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