Provider Demographics
NPI:1457472581
Name:RUTHENSTEINER DE LA PAZ, JENNIFER VALIA (ND)
Entity type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:VALIA
Last Name:RUTHENSTEINER DE LA PAZ
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:JENNIFER
Other - Middle Name:VALIA
Other - Last Name:RABINOVICH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ND
Mailing Address - Street 1:PO BOX 554
Mailing Address - Street 2:
Mailing Address - City:FREELAND
Mailing Address - State:WA
Mailing Address - Zip Code:98249-0554
Mailing Address - Country:US
Mailing Address - Phone:360-331-2464
Mailing Address - Fax:866-277-7173
Practice Address - Street 1:5492 MYRTLE AVE
Practice Address - Street 2:
Practice Address - City:FREELAND
Practice Address - State:WA
Practice Address - Zip Code:98249-9655
Practice Address - Country:US
Practice Address - Phone:360-437-6022
Practice Address - Fax:866-277-7173
Is Sole Proprietor?:No
Enumeration Date:2007-04-03
Last Update Date:2024-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA1312175F00000X
WANT00001312175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath