Mcgovern, Ruth Anne
Mcgovern, Ruth Anne is an individual health care provider with primary practice located at 703 Ne Hancock St , Portland OR 97212-3955. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Mcgovern, Ruth Anne can be contacted via phone (503) 230-9875.Contact Information
Primary practice address
703 Ne Hancock St
Portland OR 97212-3955
Phone: (503) 230-9875
Fax: (503) 331-3441
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Registered Nurse | 163W00000X | 091006987RN | Oregon |
Nursing Service Providers / Registered Nurse | 163W00000X | RN00145249 | Washington |
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | AP30006236 | Washington |
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 091006987N1 | Oregon |
Profile Details
NPI number | 1013907708 |
---|---|
LBN Legal business name | Mcgovern, Ruth Anne |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 25th, 2005 |
Last updated | Jul 17th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1013907708 | NPPES |
Washington | MEDICAID | 2015185 | |
Washington | MEDICAID | 243150 |
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