Griswold, Roxanne Ruyle

Griswold, Roxanne Ruyle is an individual health care provider with primary practice located at 4805 Ne Glisan St Ste 6N40, Portland OR 97213-2933. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Griswold, Roxanne Ruyle can be contacted via phone (503) 215-5696.

Contact Information

Primary practice address
4805 Ne Glisan St Ste 6N40 Portland OR 97213-2933
Phone: (503) 215-5696
Fax: (503) 215-5695
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 20005003NP-PP Oregon

Profile Details

NPI number 1205828936
LBN Legal business name Griswold, Roxanne Ruyle
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2005
Last updated Feb 12th, 2021 - about 5 years ago

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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1205828936 NPPES
Oregon MEDICAID 100121

Popular Providers