DIANA ANGELICA RUIZ PA-C MHS NPI 1104931500

NPI Information

NPI: 1104931500
Provider Name: DIANA ANGELICA RUIZ, PA-C, MHS
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

Organization: KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST

PECOS Registration: Yes

Address:
9427 SW BARNES RD
PORTLAND, OR
ZIP 97225
Phone: (503) 203-2040
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Diana Angelica Ruiz, PA-C, MHS is a surgical physician assistant in Portland, OR with 19 years of experience. Diana Angelica Ruiz, PA-C, MHS NPI is 1104931500. 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:

9427 SW BARNES RD
PORTLAND, OR
ZIP 97225-652
Phone: (503) 203-2040

The NPI 1104931500 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/19/2006 and was last updated on 7/11/2007.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AS0400X	Physician Assistant	Surgical	PA00921	OREGON	Yes

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: 11/14/2023

NPI Synchronization or Removal

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