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JEAN RITZKE RUTHERFORD QMHA NPI 1730218850


NPI Information

NPI: 1730218850
Provider Name: JEAN RITZKE RUTHERFORD, QMHA
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
906 MAIN AVE
TILLAMOOK, OR
ZIP 97141
Phone: (503) 842-8201
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Jean Ritzke Rutherford, QMHA is an addiction (substance use disorder) counselor in Tillamook, OR. Jean Ritzke Rutherford, QMHA NPI is 1730218850. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

906 MAIN AVE
TILLAMOOK, OR
ZIP 97141-816
Phone: (503) 842-8201
Fax: (503) 815-1870

The enumeration date for this NPI number is 3/5/2007 and was last updated on 7/9/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YA0400XCounselorAddiction (Substance Use Disorder)Yes
2101YM0800XCounselorMental HealthX

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1197749MEDICAIDOREGON
2OOOOWCGKJMEDICARE ID-TYPE UNSPECIFIEDOREGONMENTAL HEALTH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.