Provider Demographics
NPI:1376616888
Name:RUIZ, LOIS B (LMT)
Entity Type:Individual
Prefix:MS
First Name:LOIS
Middle Name:B
Last Name:RUIZ
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:806 E 1ST ST
Mailing Address - Street 2:
Mailing Address - City:NEWBERG
Mailing Address - State:OR
Mailing Address - Zip Code:97132-2920
Mailing Address - Country:US
Mailing Address - Phone:503-538-7338
Mailing Address - Fax:503-538-7339
Practice Address - Street 1:806 E 1ST ST
Practice Address - Street 2:
Practice Address - City:NEWBERG
Practice Address - State:OR
Practice Address - Zip Code:97132-2920
Practice Address - Country:US
Practice Address - Phone:503-538-7338
Practice Address - Fax:503-538-7339
Is Sole Proprietor?:No
Enumeration Date:2006-11-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist