| Mrs Alicia Renee Ruiz, APRN, FNP-BC | |
|
17437 Boones Ferry Rd Ste 100, Lake Oswego, OR 97035-6202 | |
| (503) 387-3796 | |
| Not Available |
| Full Name | Mrs Alicia Renee Ruiz |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 4 Years |
| Location | 17437 Boones Ferry Rd Ste 100, Lake Oswego, Oregon |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639820137 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 202200176NP-PP (Oregon) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Blue Mountain Hospital | John day, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Daiya Healthcare Pllc | 6002158615 | 52 |
| Maxem Health Urgent Care Lake Oswego | 9830583905 | 9 |
| Entity Name | Daiya Healthcare Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477027381 PECOS PAC ID: 6002158615 Enrollment ID: O20200309000992 |
| Entity Name | Maxem Health Urgent Care Lake Oswego |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902478225 PECOS PAC ID: 9830583905 Enrollment ID: O20220307001342 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Alicia Renee Ruiz, APRN, FNP-BC 11120 Ne 33rd Pl Ste 202, Bellevue, WA 98004-1444 Ph: (206) 823-1004 | Mrs Alicia Renee Ruiz, APRN, FNP-BC 17437 Boones Ferry Rd Ste 100, Lake Oswego, OR 97035-6202 Ph: (503) 387-3796 |
Susan Ranae Battle, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5 Centerpointe Dr, Lake Oswego, OR 97035 Phone: 541-214-6301 Fax: 855-510-1784 | |
Krisa Fenton, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5 Centerpointe Dr Ste 600, Lake Oswego, OR 97035 Phone: 615-465-9443 | |
Miss Amanda Magdalena Kinder, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4103 Mercantile Dr, Lake Oswego, OR 97035 Phone: 503-850-9940 | |
Mrs. Amanda L Swinehart, NNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5299 Lakeview Blvd, Lake Oswego, OR 97035 Phone: 740-215-1612 | |
Dr. Kristine Susan White, DNP, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14523 Westlake Dr Ste 25, Lake Oswego, OR 97035 Phone: 503-854-7160 Fax: 503-886-8961 | |
Anthony Hernandez, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5 Centerpointe Dr Ste 600, Lake Oswego, OR 97035 Phone: 503-603-7355 | |
Tierney Newman, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4004 Kruse Way Pl Ste 300, Lake Oswego, OR 97035 Phone: 503-216-1500 |