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

Kelly Dee Rutherford, MD

Individual provider Family Medicine Physician · NPI 1366512246

Kelly Dee Rutherford, MD is a Family Medicine Physician in Vancouver, Washington. Licensed in Oregon and Washington. Registered with an NPI since 2006.

Licensed in
OR, WA
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2211 E Mill Plain Blvd
Vancouver, WA 98661-4329
Phone: (360) 418-6001
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence WA MD00018278 (WA)
Family Medicine Physician Taxonomy 207Q00000X · Licence OR MD 12376 (OR)

Record details

NPI number1366512246
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 8, 2006
Last updated in NPPESJuly 8, 2007

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