Individual
MARK D RUTHERFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
11122 GRAVELLY LAKE DR SW, LAKEWOOD, WA 98499-1348
(253) 355-8156
(206) 923-7601
Mailing address
4916 CENTER ST, STE G, TACOMA, WA 98409-2348
(253) 912-9653
(253) 912-9660
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00002419
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1922455161
NPI
WA
Enumeration date
05/23/2018
Last updated
01/25/2021
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