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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013907708 NPPES
Washington MEDICAID 2015185
Washington MEDICAID 243150

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