DIANA ANGELICA RUIZ PA-C MHS NPI 1104931500

NPI Information

  • NPI: 1104931500
  • Provider Name: DIANA ANGELICA RUIZ, PA-C, MHS
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 9427 SW BARNES RD
    PORTLAND, OR
    ZIP 97225
  • Phone: (503) 203-2040

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NPI Details

Diana Angelica Ruiz, PA-C, MHS is a surgical physician assistant in Portland, OR with 20 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
1363AS0400XPhysician AssistantSurgicalPA00921OREGONYes

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: 11/21/2025

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