Roseanna Ruiz
Social Worker, Clinical in Portland, OR. Individual provider (NPI-1).
NPI number1265044572
StatusActive
Last updated in NPPESJul 22, 2024
Details
- NPI
- 1265044572
- Entity type
- Individual (NPI-1)
- Name
- Roseanna Ruiz
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 18, 2020
- Certification date
- Jul 22, 2024
- Last updated
- Jul 22, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
Practice location
1904 Se Division StPortland, OR 97202-1146
Phone 503-517-8663
Mailing address
1904 Se Division StPortland, OR 97202-1146
Phone 503-517-8663
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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