Individual
MISS KATIA RENEE RUIZ HOPPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
7477 SE 52ND AVE, PORTLAND, OR 97206-8206
(206) 379-0879
Mailing address
7477 SE 52ND AVE, PORTLAND, OR 97206-8206
(206) 379-0879
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
202006424NP-PP
OR
207Q00000X
Family Medicine Physician
AP61076984
WA
Other
Enumeration date
11/09/2020
Last updated
11/09/2020
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