MARY RUTH FNP NPI 1326085846

NPI Information

NPI: 1326085846
Provider Name: MARY RUTH, FNP
Classification: Nurse Practitioner - 363LP2300X
Entity Type: Individual

Specialization: Primary Care

PECOS Registration: Yes

Address:
1445 GATEWAY BLVD
COTTAGE GROVE, OR
ZIP 97424
Phone: (541) 942-7000
Get Directions

Mary Ruth, FNP is a primary care nurse practitioner in Cottage Grove, OR. Mary Ruth, FNP NPI is 1326085846. 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:

1445 GATEWAY BLVD
COTTAGE GROVE, OR
ZIP 97424-224
Phone: (541) 942-7000
Fax: (541) 942-5550

The NPI 1326085846 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 6/1/2006 and was last updated on 1/10/2019.

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	363L00000X	Nurse Practitioner		200050114NP	OREGON	No
2	363LF0000X	Nurse Practitioner	Family	200050114NP	OREGON	No
3	363LP2300X	Nurse Practitioner	Primary Care	200050114NP	OREGON	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1811939093	OTHER	OREGON	CURRY FAMILY MEDICAL NPI
2	93-0937095	OTHER	OREGON	CURRY HEALTH DISTRICT TIN
3	R0000ZGBDG	OTHER	OREGON	CURRY GENERAL HOSPITAL'S MEDICARE PART B
4	1487696985	OTHER	OREGON	CURRY GENERAL HOSPITAL NPI
5	200050114NP	OTHER	OREGON	STATE LICENSE
6	381322	OTHER	OREGON	CURRY GENERAL HOSPITAL'S MEDICARE PART A

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: 5/5/2024

NPI Synchronization or Removal

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