MS. JARUSHA KUTZ PMHNP
NPI 1417264581
Nurse Practitioner - Psychiatric/Mental Health in Portland, OR

Active since September 09, 2010
1172 NE MORTON ST, PORTLAND, OR 97211(503) 683-2109(971) 245-1736 Get Directions Write a Review

NPPES record last updated: August 8, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 8, 2023, Apr 5, 2021, Sep 12, 2019 (3 updates tracked since 2019).

About Ms. Jarusha Kutz Pmhnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. JARUSHA KUTZ PMHNP (NPI 1417264581) is an individual psychiatric/mental health provider in Portland, Oregon, licensed in Oregon (201050166NP) and active in the NPI registry since September 2010.

NPPES Registry Identity

NPI1417264581
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMS. JARUSHA KUTZCredential: PMHNP
Location Address1172 NE MORTON STPortland, OR 97211-4158
Mailing Address3519 Ne 15th Ave # 576Portland, OR 97212-2356 · (503) 683-2109 · Fax (971) 245-1736
Fax(971) 245-1736
Sole ProprietorYes
Enumeration DateSeptember 9, 2010
Last NPPES UpdateAugust 8, 20233 updates tracked since enumeration
NPPES CertifiedAugust 8, 2023
NPI 1417264581 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in OR · 201050166NP
1172 NE MORTON ST, Portland, OR 97211

Accepted Insurance

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1417264581, enumerated as an "individual" on September 09, 2010.

The provider is located at 1172 NE MORTON ST PORTLAND, OR 97211 and the phone number is (503) 683-2109.

Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.

The provider might be accepting Accepts: PacificSource Health Plans and Regence BlueCross. Please consult your insurance carrier or call the provider to verify.