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RUTH ANNE MCGOVERN NP NPI 1013907708


NPI Information

NPI: 1013907708
Provider Name: RUTH ANNE MCGOVERN, NP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
703 NE HANCOCK ST
PORTLAND, OR
ZIP 97212
Phone: (503) 230-9875
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Ruth Anne Mcgovern, NP is a family nurse practitioner in Portland, OR. Ruth Anne Mcgovern, NP NPI is 1013907708. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

703 NE HANCOCK ST
PORTLAND, OR
ZIP 97212-955
Phone: (503) 230-9875
Fax: (503) 331-3441

The NPI 1013907708 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 10/25/2005 and was last updated on 7/17/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1163W00000XRegistered Nurse091006987RNOREGONNo
2163W00000XRegistered NurseRN00145249WASHINGTONNo
3363L00000XNurse PractitionerAP30006236WASHINGTONNo
4363LF0000XNurse PractitionerFamily091006987N1OREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12015185MEDICAIDWASHINGTON
2243150MEDICAIDOREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.