Individual provider · Type 1 NPI

Brock Rutherford, PA-C

Surgical Physician Assistant · Bend, OR

NPI number 1841640430 Active

Practice location

2200 NE Neff Rd Ste 200
Bend, OR 97701-4281

Other practice locations

  • 1501 NE Medical Center Dr, Bend, OR 97701-6051 · (541) 382-2811

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X192493 (OR)

Surgical Physician Assistant: Definition to come...

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About NPI 1841640430

Brock Rutherford, PA-C's National Provider Identifier is 1841640430, issued on Jun 15, 2016. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Bend, OR. The record was last updated on Apr 2, 2025.