Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Diana Angelica Ruiz, PA-C, MHS

Individual provider Surgical Physician Assistant · NPI 1104931500

Diana Angelica Ruiz, PA-C, MHS is a Physician Assistant in Portland, Oregon. Qualified in 2005, 21 years ago. Practices with Kaiser Foundation Health Plan of the Northwest, a 1,811-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
21
Licensed in
OR
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

9427 SW Barnes Rd
Portland, OR 97225-6652
Phone: (503) 203-2040
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA00921 (OR)

Record details

NPI number1104931500
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C , MHS
Sole proprietorNo
NPI enumeratedAugust 19, 2006
Last updated in NPPESJuly 11, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Kaiser Foundation Health Plan Of The Northwest — 1811 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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