Provider Demographics
NPI:1114121852
Name:RUHOFF, AMY CAROL (RN, MSN, CNS)
Entity Type:Individual
Prefix:MRS
First Name:AMY
Middle Name:CAROL
Last Name:RUHOFF
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Gender:F
Credentials:RN, MSN, CNS
Other - Prefix:
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Mailing Address - Street 1:501 N GRAGAM ST
Mailing Address - Street 2:STE 220
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97227-1683
Mailing Address - Country:US
Mailing Address - Phone:503-413-7162
Mailing Address - Fax:503-413-7148
Practice Address - Street 1:501 N GRAHAM ST
Practice Address - Street 2:STE 220
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97227-1654
Practice Address - Country:US
Practice Address - Phone:503-413-7162
Practice Address - Fax:503-413-7148
Is Sole Proprietor?:No
Enumeration Date:2007-06-14
Last Update Date:2016-02-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TX720806163W00000X
OR201394481RN163W00000X
TX2007004619364SA2200X
OR201400304CNS-PP364SA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SA2200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAdult Health
No163W00000XNursing Service ProvidersRegistered Nurse