IndividualActive
Brock Rutherford, PA-C
NPI 1841640430 · Surgical Physician Assistant · Bend, OR
Provider details
- NPI number
- 1841640430
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- 192493 (OR)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
2200 Ne Neff Rd Ste 200
Bend, OR 97701-4281
Phone: (541) 382-3344
Approximate (ZIP-level) locationGet directions
Mailing address
2200 Ne Neff Rd Ste 200
Bend, OR 97701-4281
Additional practice locations (1)
- 1501 Ne Medical Center DrBend, OR 97701-6051Phone: (541) 382-2811
Registry dates
- Enumerated
- 2016-06-15
- Last updated
- 2025-04-02
- Certified
- 2025-04-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.