Rutledge, Tasha Renee

Rutledge, Tasha Renee is an individual health care provider with primary practice located at 816 W 10Th St , Medford OR 97501. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Rutledge, Tasha Renee can be contacted via phone (541) 734-5437.

Contact Information

Primary practice address
816 W 10Th St Medford OR 97501
Phone: (541) 734-5437
Fax: (541) 618-1094
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 201710258NP-PP Oregon

Profile Details

NPI number 1841707742
LBN Legal business name Rutledge, Tasha Renee
Credentials CPNP-PO
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 2nd, 2018
Last updated Apr 2nd, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841707742 NPPES
Oregon MEDICAID 201710258NP-PP

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