Individual
LISA RUETHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3436 MARY ELDER RD NE, OLYMPIA, WA 98506-5050
(360) 528-2590
Mailing address
3202 107TH AVE SW, OLYMPIA, WA 98512-9105
(206) 602-0304
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN60899320
WA
Other
Enumeration date
07/20/2022
Last updated
07/20/2022
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