Individual
AMBER NICOLE RUIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
9135 SW BARNES RD STE 461, PORTLAND, OR 97225-6643
(503) 216-1150
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
20A18876
CA
2084N0400X
Neurology Physician
Primary
DO210696
OR
Other
Enumeration date
04/15/2017
Last updated
02/10/2023
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