Active NPI
Clara Ruiz
- Psychiatry Physician
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD162062
- Practice address
- 17720 NE Halsey St Ste a
Portland, OR 97230-6771 - Phone
- (503) 654-7654
- Fax
- (503) 654-7333
- NPI assigned
- May 26, 2009
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MD162062 | OR | Primary |
Addresses
Primary practice location
17720 NE Halsey St Ste a
Portland, OR 97230-6771
Mailing address
3587 Heathrow Way
Medford, OR 97504-4004
Phone (541) 858-8170
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR, VA, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD162062 | OR | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CMH Physician Services, LLC | Current | Accepting new patients | |
| Warren Memorial Hospital, Inc. | Current | Accepting new patients | |
| Baycare Behavioral Health Associates LLC | Psychiatry | Current | Accepting new patients |
| CMH Physician Services, LLC | Psychiatry | Current | Accepting new patients |
| Legacy Emanuel Hospital & Health Center | Current | Accepting new patients | |
| Warren Memorial Hospital, Inc. | Psychiatry | Current | Accepting new patients |
| Page Memorial Hospital, Inc. | Current | Accepting new patients | |
| Legacy Emanuel Hospital & Health Center | Current | Accepting new patients | |
| Nchmd Inc | Current | Accepting new patients | |
| Providence Health & Services - Oregon | Current | Accepting new patients | |
| Shenandoah Memorial Hospital, Inc. | Current | Accepting new patients | |
| Winchester Medical Center | Psychiatry | Current | Accepting new patients |
| Legacy Emanuel Hospital & Health Center | Psychiatry | Current | Accepting new patients |
| Sentara Medical Group | Current | Accepting new patients | |
| Providence Health & Services Oregon | Current | Accepting new patients | |
| Providence Health & Services - Oregon | Current | Accepting new patients | |
| Page Memorial Hospital, Inc. | Current | Accepting new patients | |
| Providence Health & Services - Oregon | Current | Accepting new patients | |
| Nchmd, Inc | Current | Accepting new patients | |
| Tuality Medical Group LLC | Current | Accepting new patients | |
| Shenandoah Memorial Hospital Inc. | Psychiatry | Current | Accepting new patients |
| Winchester Medical Center | Psychiatry | Current | Accepting new patients |
| Landmark Hospital of Southwest Florida, LLC | Current | Accepting new patients | |
| Winchester Medical Center | Current | Accepting new patients | |
| Shenandoah Memorial Hospital, Inc. | Current | Accepting new patients | |
| Baycare Behavioral Health Associates LLC | Psychiatry | Current | Accepting new patients |
| Tuality Medical Group LLC | Current | Accepting new patients | |
| Shenandoah Memorial Hospital, Inc. | Past | Accepting new patients |
Locations
2995 Drew St
Fl 2
Clearwater, FL 33759
Phone (727) 315-7234
21808 State Road 54
Lutz, FL 33549
Phone (727) 315-8612
4211 Van Dyke Rd
Lutz, FL 33558
Phone (813) 265-6300
680 2nd Ave N
Ste 304
Naples, FL 34102
Phone (239) 261-7711
11190 Health Park Blvd
Naples, FL 34110
Phone (239) 300-9721
350 7th St N
Naples, FL 34102
Phone (239) 436-5000
6600 Madison St
New Pt Richey, FL 34652
Phone (727) 841-4611
3503 E Frontage Rd
Tampa, FL 33607
Phone (813) 586-8187
335 SE 8th Ave
Hillsboro, OR 97123
Phone (503) 681-1111
1400 SW 5th Ave
Ste 500
Portland, OR 97201
9205 SW Barnes Rd
Portland, OR 97225
Phone (503) 216-1234
1225 NE 2nd Ave
Portland, OR 97232
Phone (503) 413-5051
4805 NE Glisan St
Portland, OR 97213
Phone (503) 215-1111
1919 NW Lovejoy St
Portland, OR 97209
Phone (503) 415-5600
2801 N Gantenbein Ave
Portland, OR 97227
Phone (503) 413-2200
351 Valley Health Way
Front Royal, VA 22630
Phone (540) 636-0300
200 Memorial Dr
Luray, VA 22835
Phone (540) 743-4561
850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162
1755 N Mecklenburg Ave
South Hill, VA 23970
Phone (434) 584-2273
1080 First Colonial Rd
Ste 403
Virginia Beach, VA 23454
Phone (757) 496-6537
1840 Amherst St
Winchester, VA 22601
Phone (540) 536-8700
240 Shenandoah St
Woodstock, VA 22664
Phone (540) 459-2808
759 S Main St
Woodstock, VA 22664
Phone (540) 459-1100
Organizations & group practices 28
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Portland, OR
- NPI 1831112358
-
- General Acute Care Hospital
- Portland, OR
- NPI 1003991845
-
- General Acute Care Hospital
- Portland, OR
- NPI 1114015971
-
- Internal Medicine Physician
- Hillsboro, OR
- NPI 1073929782
-
- Psychiatry Physician
- Lutz, FL
- NPI 1245502152
-
- Hematology & Oncology Physician
- Naples, FL
- NPI 1831120195
-
- Critical Access Hospital
- Luray, VA
- NPI 1326040684
-
- Family Medicine Physician
- Norfolk, VA
- NPI 1265485270
-
- Rural Health Clinic/Center
- Woodstock, VA
- NPI 1952417735
-
- Emergency Medicine Physician
- Front Royal, VA
- NPI 1164442281
Psychiatry
-
- Critical Care Medicine (Internal Medicine) Physician
- Winchester, VA
- NPI 1679711261
Psychiatry
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717372800000",
"number": "1881829596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3587 HEATHROW WAY",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975044004",
"telephone_number": "541-858-8170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17720 NE HALSEY ST STE A",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972306771",
"telephone_number": "503-654-7654",
"fax_number": "503-654-7333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUIZ",
"first_name": "CLARA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-05-26",
"last_updated": "2024-06-03",
"certification_date": "2024-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "OR",
"license": "MD162062",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.