Individual
MR. DOUGLASS MCDONALD RUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S.W., L.C.S.W.
Contact information
Practice address
1221 SW YAMHILL ST, SUITE 301, PORTLAND, OR 97205-2126
(503) 226-7079
(503) 226-1130
Mailing address
4213 NE 28TH AVE, PORTLAND, OR 97211-7103
(503) 705-3134
(440) 756-1547
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
L004513
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L004513
L.C.S.W
OR
Enumeration date
04/03/2007
Last updated
05/18/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us