Rutlen, David L

Rutlen, David L is an individual health care provider with primary practice located at 3303 Sw Bond Ave , Portland OR 97239-4501. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Rutlen, David L can be contacted via phone (503) 494-7400.

Contact Information

Primary practice address
3303 Sw Bond Ave Portland OR 97239-4501
Phone: (503) 494-7400
Fax: (503) 494-4749
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X MD195942 Oregon

Profile Details

NPI number 1881646560
LBN Legal business name Rutlen, David L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Oct 14th, 2019 - about 7 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 1881646560 NPPES
Other 005000215L HUMANA
MEDICAID 170954001 HUMANA
MEDICAID 32597800 HUMANA

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