Individual
JENNIFER RUKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5200 SW MACADAM AVE, PORTLAND, OR 97239-6103
(503) 282-7920
Mailing address
5510 NW 146TH AVE, PORTLAND, OR 97229-9263
(503) 531-9557
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
099007576RN
OR
163W00000X
Registered Nurse
463886
CA
Other
Enumeration date
10/23/2015
Last updated
10/23/2015
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