Individual
JOANNE RUTLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
1975 MCPHERSON ST, SUITE 2, NORTH BEND, OR 97459-3482
(541) 756-2020
Mailing address
1975 MCPHERSON ST, SUITE 2, NORTH BEND, OR 97459-3482
(541) 756-2020
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
099000440RN
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
030478
—
OR
Enumeration date
09/06/2005
Last updated
07/08/2007
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