Individual
NATOYA S CARRUTHERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3303 S BOND AVE, PORTLAND, OR 97239-4501
(503) 418-3376
(503) 494-6968
Mailing address
3303 S BOND AVE, PORTLAND, OR 97239-4501
(503) 418-3376
(503) 494-6968
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA198460
OR
363AM0700X
Medical Physician Assistant
Primary
PA198460
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500781662
—
OR
Enumeration date
06/11/2018
Last updated
08/21/2025
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