Organization Active NPI

Cynthia K Rutto, Pmhnp

  • Adolescent and Children Mental Health Clinic/Center
  • Portland, OR
National Provider Identifier
1174891782
Registry record updated Dec 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
License
200550034NP Issued in OR
Legal business name
CYNTHIA K RUTTO, PMHNP
Practice address
2929 SW Multnomah Blvd Ste 102
Portland, OR 97219-4070
Phone
(503) 288-1771
Fax
(188) 826-1665
NPI assigned
Dec 9, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Cynthia Kathleen Rutto, RN,MS, PMHNPNPI 1346325883
Title
Pmhnp
Phone
(503) 288-1771

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X 200550034NP OR
Adolescent and Children Mental Health Clinic/Center 261QM0855X 200550034NP OR Primary

Addresses

Primary practice location

2929 SW Multnomah Blvd Ste 102
Portland, OR 97219-4070

Mailing address

2929 SW Multnomah Blvd Ste 102
Portland, OR 97219-4070
Phone (503) 288-1771

National Provider Directory

National Provider Directory

Locations

2929 SW Multnomah Blvd
Ste 102
Portland, OR 97219
Phone (503) 288-1771

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1323388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323388800000",
    "number": "1174891782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2929 SW MULTNOMAH BLVD STE 102",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972194070",
            "telephone_number": "503-288-1771",
            "fax_number": "188-826-1665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2929 SW MULTNOMAH BLVD STE 102",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972194070",
            "telephone_number": "503-288-1771",
            "fax_number": "188-826-1665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYNTHIA K RUTTO, PMHNP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-09",
        "last_updated": "2011-12-09",
        "status": "A",
        "authorized_official_last_name": "RUTTO",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "KATHLEEN",
        "authorized_official_title_or_position": "PMHNP",
        "authorized_official_telephone_number": "503-288-1771",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN,MS, PMHNP"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "OR",
            "license": "200550034NP",
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "OR",
            "license": "200550034NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.