Individual
ROBERTA W RUGGERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2250 SE OAKGROVE BLVD, SUITE B, MILWAUKIE, OR 97267-2659
(503) 654-6567
(503) 653-2582
Mailing address
2250 SE OAKGROVE BLVD, SUITEB, MILWAUKIE, OR 97267-2659
(503) 654-6567
(503) 653-2582
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO21865
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
067039108
REGENCE BLUE CROSS
OR
01
—
080175728
RAILROAD MEDICARE
OR
01
—
275744501
CIGNA
OR
05
—
287646
—
OR
01
—
7471260
AETNA INS
OR
01
—
A006
TRICARE
OR
Enumeration date
10/24/2005
Last updated
08/23/2022
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