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Individual

MATTHEW RUTHERFORD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CRM, PSS, THW

Contact information

Practice address
627 NE EVANS ST, MCMINNVILLE, OR 97128-3923
(971) 261-2259
Mailing address
627 NE EVANS ST, MCMINNVILLE, OR 97128-3923

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary

Other

Enumeration date
04/11/2019
Last updated
04/11/2019
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