Individual
RUTH ANNE MCGOVERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
703 NE HANCOCK ST, PORTLAND, OR 97212-3955
(503) 230-9875
(503) 331-3441
Mailing address
1776 SW MADISON ST, PORTLAND, OR 97205-1715
(503) 224-1044
(503) 621-2235
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
091006987RN
OR
163W00000X
Registered Nurse
RN00145249
WA
363L00000X
Nurse Practitioner
AP30006236
WA
363LF0000X
Family Nurse Practitioner
Primary
091006987N1
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2015185
—
WA
05
—
243150
—
OR
Enumeration date
10/25/2005
Last updated
07/17/2023
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