Organization
MARK RUTHERFORD DC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK DEAN RUTHERFORD DC (OWNER)
(253) 584-4556
Entity
Organization
Contact information
Practice address
11120 GRAVELLY LAKE DR SW, SUITE 10, LAKEWOOD, WA 98499-1351
(253) 584-4556
Mailing address
11120 GRAVELLY LAKE DR SW, SUITE 10, LAKEWOOD, WA 98499-1337
(253) 584-4556
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
CH00002419
WA
Other
Enumeration date
05/18/2016
Last updated
05/18/2016
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