Ruby Myrella Urbina
Individual provider Active NPI Community Health Worker · Cornelius, OR
NPI 1760367676 · NPPES record last updated Aug 8, 2025
Key facts
- NPI
- 1760367676
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- License
- 112223 (OR)
- Practice address
- 1096 S Jasper St
Cornelius, OR 97113-6406 - Phone
- (503) 385-3433
- NPI assigned
- Aug 8, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 112223 | OR | MD | Community Health Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | 112223 | OR | Yes |
Addresses
Primary practice location
1096 S Jasper St
Cornelius, OR 97113-6406
Mailing address
1096 S Jasper St
Cornelius, OR 97113-6406
Phone (503) 385-3433
Other providers in Cornelius, OR
- Synergy Eye, LLC
- Rebecca Christine Thomas
- Mary Ann Turner
- Steven John Unger
- Urban Health Chiropractic LLC
- Kathryn Leigh Urhausen
- Tiffany Van Dyke
- Roberto Varona Sr.
- Nohemi Vigil
- Virginia Garcia Memorial Health Center
All providers in Cornelius, OR · Community Health Worker in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 8, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.