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Deactivated NPI 1710992235 Deactivated / Inactive NPI Female Practitioner

Ruby Cathleen Amen , PNP

Nurse Practitioner - Pediatrics • Portland, OR

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Ruby Amen has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 31, 2006
NPI Deactivation Date December 14, 2022
Total Practice Duration ~16 Years of Practice (2006 – 2022)

Professional Overview & Biography Verified Profile Summary

Ruby Amen, PNP was a registered Nurse Practitioner - Pediatrics practicing in Portland, OR. Throughout an active medical career spanning 16 years, Ruby Amen provided care at the practice location at 707 SW GAINES ST until profile deactivation on 2022-12-14.

Practice Location & Contact Primary Location

Practice Address

707 Sw Gaines St

Portland, OR 972392901

Telephone 8004523563
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Pediatrics in Portland, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.6 Yrs
State Avg: 15.6 Yrs
Regional Practice Density
119 Specialists

Practicing in Portland, OR (225 Statewide)

Telehealth Adoption Rate
0.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

State License OR 086000434N2

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
William Foran , PT

Physical Therapist

NPI 1003913872

Physical Therapist

Dr. John Liedel , MD

Pediatrics - Developmental - Behavioral Pediatrics

NPI 1023024627

Doctor of Medicine (M.D.)

David Oleson , PT

Physical Therapist

NPI 1043226533

Physical Therapist

Sarai Ortiz-Bucio

Social Worker - Clinical

NPI 1063079887
Kip Christensen , PT

Physical Therapist

NPI 1104909290

Physical Therapist

Tracy Brundage , OT

Occupational Therapist

NPI 1144317199

Occupational Therapist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated December 14, 2022

Record deactivated on December 14, 2022

NPI Profile Active July 16, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 16, 2007

Registered at 707 SW GAINES ST, PORTLAND, OR 972392901 (Tel: 8004523563)

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Updated Business Mailing Address July 16, 2007

Registered at PO BOX 574, PORTLAND, OR 972070574

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Provider Name / Credentials Updated July 16, 2007

Recorded as RUBY AMEN, PNP

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 16, 2007

Nurse Practitioner (License #086000434N2 in OR)

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Initial NPI Registration & Enumeration July 31, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1710992235
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 31, 2006
Last Update: July 16, 2007
Deactivation Date: December 14, 2022

Mailing Address

Po Box 574

Portland, OR 972070574

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.