Cynthia Kathleen Rutto, RN MS PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

200550034NP Issued in OR

Practice address

727 W Burnside St
Portland, OR 97209-3514

Phone

(503) 228-7134

Fax

(888) 261-6655

NPI assigned

Oct 25, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Nurse Practitioner, Registered Nurse

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bartlett Regional Hospital

  dba Southeast Physicians Services

  • Multi-Specialty Clinic/Center
  • Juneau, AK
  • NPI 1154331734
  Medicare reassignment NPD
• Cynthia K Rutto, Pmhnp

  • Adolescent and Children Mental Health Clinic/Center
  • Portland, OR
  • NPI 1174891782
  NPD (past) Authorized official
• Central City Concern Inc

  • Federally Qualified Health Center (FQHC)
  • Portland, OR
  • NPI 1649036880
  NPD (past)

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1346325883",
    "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": "888-261-6655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "727 W BURNSIDE ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972093514",
            "telephone_number": "503-228-7134",
            "fax_number": "888-261-6655"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "313 NW 3rd Ave, Suite 1",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "97209",
            "country_code": "US",
            "telephone_number": "971-998-8702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUTTO",
        "first_name": "CYNTHIA",
        "middle_name": "KATHLEEN",
        "name_prefix": "Ms.",
        "credential": "RN MS PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0807X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
            "state": "OR",
            "license": "200550034NP",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "200550034NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "164936",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brook H Rutledge, M.S.
• Katherine Rutledge, CLC
• David L Rutlen, MD
• Claudia Rutnag
• Tara Rutter, PHD
• David Henry Ruud, M.D.
• Jessica Ruth Ruvalcaba, RDH
• RWW Home and Community Rehab Services Oregon, LLC (Rehab Without Walls NeuroSolutions)
• Ryan Blum, MD LLC
• Ryan Carpenter DMD PC (Powell Valley Dental)

• Psychiatric/Mental Health Nurse Practitioner in Portland, OR
• Providers in Portland, OR by specialty
• Psychiatric/Mental Health Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.