Provider Demographics
NPI:1689698334
Name:JAMES E. RUF, MD, LLC
Entity Type:Organization
Organization Name:JAMES E. RUF, MD, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:E
Authorized Official - Last Name:RUF
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:503-648-0803
Mailing Address - Street 1:349 SE 7TH AVE
Mailing Address - Street 2:
Mailing Address - City:HILLSBORO
Mailing Address - State:OR
Mailing Address - Zip Code:97123-4112
Mailing Address - Country:US
Mailing Address - Phone:503-648-0803
Mailing Address - Fax:503-640-4313
Practice Address - Street 1:349 SE 7TH AVE
Practice Address - Street 2:
Practice Address - City:HILLSBORO
Practice Address - State:OR
Practice Address - Zip Code:97123-4112
Practice Address - Country:US
Practice Address - Phone:503-648-0803
Practice Address - Fax:503-640-4313
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ORR131511Medicare ID - Type Unspecified