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MRS. DEMETRIA LAVETTE RUTLEDGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN-C

Contact information

Practice address
831 NW COUNCIL DR STE 125, GRESHAM, OR 97030-3794
(503) 665-8176
(503) 665-8176
Mailing address
13194 US HIGHWAY 301 S UNIT 228, RIVERVIEW, FL 33578-7410
(352) 807-4857
(352) 218-6045

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
10010881
OR
363LF0000X
Family Nurse Practitioner
101.0137529
VT
363LF0000X
Family Nurse Practitioner
1160779
TX
363LF0000X
Family Nurse Practitioner
APRN9181104
FL
363LF0000X
Family Nurse Practitioner
Primary
NP95026940
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
101700500
FL
Enumeration date
12/07/2017
Last updated
12/29/2025
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