Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Douglas Brent Rutan, DPM

Individual provider Podiatrist · NPI 1821081613

Douglas Brent Rutan, DPM is a Podiatry in Vancouver, Washington. Graduated from Kent State University College of Podiatric Medicine in 1991, 35 years ago. Practices with Clover Podiatry PLLC, a 5-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
35
Trained at
Kent State University College of Podiatric Medicine
Licensed in
WA
In the registry since
2005
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

100 E 33rd St Ste 206
Vancouver, WA 98663-2776
Phone: (360) 695-1334
Fax: (360) 992-1159
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence P0515 (WA)

Record details

NPI number1821081613
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedAugust 26, 2005
Last updated in NPPESJune 29, 2021
Certification dateJune 29, 2021
Mailing address100 E 33rd St Ste 206, Vancouver, WA 98663-2776

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolKENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Graduated 1991 (35 years in practice)
Group practice Clover Podiatry Pllc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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