Individual
DR. DAVID L RUTLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3303 SW BOND AVE, PORTLAND, OR 97239-4501
(503) 494-7400
(503) 494-4749
Mailing address
3303 SW BOND AVE, PORTLAND, OR 97239-4501
(503) 494-7400
(503) 494-4749
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD195942
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005000215L
HUMANA
—
05
—
170954001
—
AR
05
—
32597800
—
WI
Enumeration date
05/17/2006
Last updated
10/14/2019
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