Active NPI
Jessica Ruth Ruvalcaba, RDH
- Dental Hygienist
- Portland, OR
National Provider Identifier
1811463557
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- H5064
- Practice address
- 500 NE Multnomah St Ste 100
Portland, OR 97232-2031 - Phone
- (800) 448-6118
- NPI assigned
- Oct 20, 2018
- Last updated
- Oct 25, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | H5064 | OR | Primary |
Addresses
Primary practice location
500 NE Multnomah St Ste 100
Portland, OR 97232-2031
Mailing address
989 Sagrada Cir N
Keizer, OR 97303-3784
Phone (503) 339-5700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H5064 | OR | MD | Dental Hygienist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clawson & Ebel LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571961600000",
"number": "1811463557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "989 SAGRADA CIR N",
"city": "KEIZER",
"state": "OR",
"postal_code": "973033784",
"telephone_number": "503-339-5700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 NE MULTNOMAH ST STE 100",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972322031",
"telephone_number": "800-448-6118"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUVALCABA",
"first_name": "JESSICA",
"middle_name": "RUTH",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-20",
"last_updated": "2019-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "OR",
"license": "H5064",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
- David L Rutlen, MD
- Claudia Rutnag
- Tara Rutter, PHD
- Cynthia Kathleen Rutto, RN MS PMHNP
- David Henry Ruud, M.D.
- RWW Home and Community Rehab Services Oregon, LLC (Rehab Without Walls NeuroSolutions)
- Ryan Blum, MD LLC
- Ryan Carpenter DMD PC (Powell Valley Dental)
- Ryan Douglas Glover Armworks Hand Therapy (Armworks Hand Therapy)
- Rebecca Ellen Ryan Roberts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.