Rutherford, Brock
Rutherford, Brock is an individual health care provider with primary practice located at 2200 Ne Neff Rd Ste 200 , Bend OR 97701-4281. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Rutherford, Brock can be contacted via phone (541) 382-3344.Contact Information
Primary practice address
2200 Ne Neff Rd Ste 200
Bend OR 97701-4281
Phone: (541) 382-3344
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 192493 | Oregon |
Profile Details
| NPI number | 1841640430 |
|---|---|
| LBN Legal business name | Rutherford, Brock |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 15th, 2016 |
| Last updated | May 9th, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1841640430 | NPPES |
| Oregon | Other | 192493 | OREGON MEDICAL BOARD |
| Oregon | MEDICAID | 500762847 | OREGON MEDICAL BOARD |
Popular Providers
-
Larsen-Farris, Korena L
2200 Ne Neff Rd Ste 200 , Bend OR 97701-4281 -
Beebe, Lauren Kay
2500 Ne Neff Rd , Bend OR 97701-6015 -
Orevi, Diklah
61250 Se Coombs Pl , Bend OR 97702-3704 -
Weiland, Daniel Mark
2500 Ne Neff Rd , Bend OR 97701-6015 -
Brown, Jean M
2500 Ne Neff Rd , Bend OR 97701-6015 -
Cosgro, Daniel Thomas
2275 Ne Doctors Dr Ste 6 , Bend OR 97701-6092 -
Fitts, Michelle L
2090 Ne Wyatt Ct Suite 101, Bend OR 97701-7687 -
Caba, Kathryn
1303 Ne Cushing Dr Ste 100, Bend OR 97701-3887