MIGUEL RUVALCABA (NPI# 1124471628) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124471628 |
| Entity Type | Individual |
| Full Name | MIGUEL RUVALCABA |
| Credential | FNP |
| Practice Address |
955 Se Baseline St Hillsboro OR 97123-4207 |
| Mailing Address |
Po Box 3158 Portland OR 97208-3158 |
| Practice Telephone | 8882273312 |
| Enumeration Date | 2016-07-20 |
| Last Update Date | 2020-09-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
201601589NP-PP | OR | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 500711426 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1715 Bonnie Lane, Forest Grove, OR 97116 | 5033594057 | 5033594756 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417489444 | Miguel Alonso Ruvalcaba | Student in an Organized Health Care Education/Training Program | 4150 V St # 1100, Sacramento, CA 95817-1460 | 2017-03-29 |
| Street Address |
955 SE BASELINE ST |
| City | HILLSBORO |
| State | OR |
| Zip Code | 97123-4207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669760849 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 955 Se Baseline St, Hillsboro, OR 97123-4207 | 2011-07-21 |
| 1003415399 | Hajjar A Alturky | Pharmacist | 955 Se Baseline St, Hillsboro, OR 97123-4207 | 2020-10-19 |
| 1437527819 | Christine Rose Wong | Pharmacist | 955 Se Baseline St, Hillsboro, OR 97123-4207 | 2015-09-02 |
| 1144626953 | Nell Thyrza Rafalovich | Physician Assistant | 955 Se Baseline St, Hillsboro, OR 97123-4207 | 2014-11-06 |
| 1477817716 | Charlotte Vincenzes | Pharmacist | 955 Se Baseline St, Hillsboro, OR 97123-4207 | 2012-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851916241 | Gabriel Lawrence | Physical Therapist | 2973 Se 79th Ave., Hillsboro, OR 97123 | 2020-06-11 |
| 1487278453 | Jordan Gregory Evans | Student in an Organized Health Care Education/Training Program | Creighton Hall 222 Se 8th Ave, Hillsboro, OR 97123 | 2020-06-04 |
| 1124641006 | Jessica Anne Bramlett | Student in an Organized Health Care Education/Training Program | 228 Southeast 8th Avenue, Suite 536, Hillsboro, OR 97123 | 2020-05-26 |
| 1003448168 | Madelyn Vogt | Community Health Worker | 862 Se Oak Street, Suite 2a, Hillsboro, OR 97123 | 2020-02-06 |
| 1215435789 | Renise Harrel | Massage Therapist | 4855 Se Tv Hwy, Suite B, Hillsboro, OR 97123 | 2018-01-30 |
| 1497260269 | Amy Hodges | Counselor | 222 Se 8th Ave # 212, Hillsboro, OR 97123 | 2017-12-02 |
| 1033623723 | Tamira L Heyob | Doula | 25600 Sw Bald Peak Rd., Hillsboro, OR 97123 | 2017-11-17 |
| 1134644024 | Tara Kyoko Taylor | Massage Therapist | 5289 Ne Elam Young Pkwy #130, Hillsboro, OR 97123 | 2017-08-11 |
| 1023543055 | Austin Simpson | Counselor | 222 Se 8th, Suite 222, Hillsboro, OR 97123 | 2017-04-27 |
| 1124569769 | Emergency Tooth Doctor Hillsboro, Prof. Corp. | Dentist | 752 Se Oak St, Hillsboro, OR 97123 | 2017-03-15 |
| Find all providers in zip 97123 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811521586 | Valorine Tsopmoh Tsopmoh | Nurse Practitioner | 924 Se Sacha Pl, Hillsboro, OR 97123-4685 | 2020-03-02 |
| 1831722743 | Abigail Joanne Thackston | Nurse Practitioner | 105 Danville Pike, Hillsboro, OH 45133-1204 | 2020-02-19 |
| 1780136986 | Marisa Gingerich | Nurse Practitioner | 1323 E Franklin St Ste 105, Hillsboro, TX 76645-2679 | 2016-11-04 |
| 1760857098 | Alicia N Wilson | Nurse Practitioner | 225 W Main St Unit B, Hillsboro, OH 45133 | 2015-12-11 |
| 1144607185 | Tracy Resibois-binkley | Nurse Practitioner | 1487 N High St Ste 102, Hillsboro, OH 45133-8496 | 2015-04-28 |
| 1083048474 | Angela Rae Hardy | Nurse Practitioner | 7594 Pea Ridge Rd, Hillsboro, OH 45133-8518 | 2013-08-21 |
| 1578905022 | Andrea K Howard | Nurse Practitioner | 160 Roberts Lane, Hillsboro, OH 45133 | 2013-07-25 |
| 1952654550 | Jaleen Lynn Klink | Nurse Practitioner | 1049 Sw Baseline St Ste D490, Hillsboro, OR 97123-3857 | 2012-10-19 |
| 1275821704 | Amy R Frasure | Nurse Practitioner | 104 Erin Court, Hillsboro, OH 45123 | 2011-07-19 |
| 1659502904 | Marsha Kay Mitchell | Nurse Practitioner | 11130 North Shore Dr., Hillsboro, OH 45133-8977 | 2009-08-05 |
| Find all providers in HILLSBORO | ||||
Please comment or provide details below to improve the information on MIGUEL RUVALCABA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.