- Practice location
- 703 NE Hancock St, Portland, OR 97212-3955
- Phone
- 503-230-9875
- Fax
- 503-230-9877
- Last updated
- November 19, 2025
Ruby Alexandra Ackermann is a Community Health Worker based in Portland, OR. Ruby Alexandra Ackermann practices in Portland, OR and has the professional credentials of CHW. The NPI Number for Ruby Alexandra Ackermann is 1033079785 and holds a License No. 113533 (OR). The current practice location address for Ruby Alexandra Ackermann is 703 NE Hancock St, Portland, OR 97212-3955 and can be reached out via phone at 503-230-9875 and via fax at 503-230-9877.
Provider Profile Details
- NPI Number
- 1033079785
- Provider Name
- Ruby Alexandra Ackermann
- Credential
- CHW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 703 NE Hancock St, Portland, OR 97212-3955
- Phone Number
- 503-230-9875
- Fax Number
- 503-230-9877
- Primary Taxonomy
- Community Health Worker · 172V00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- November 14, 2025
- Last Update Date
- November 19, 2025
- Certification Date
- November 19, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 703 NE Hancock St
Portland, OR 97212-3955 - City
- Portland
- State
- Oregon
- Zip
- 97212-3955
- Phone Number
- 503-230-9875
- Fax Number
- 503-230-9877
Provider Business Mailing Address Details
- Address
- 211 SE Caruthers St
Portland, OR 97214-4502 - City
- Portland
- State
- OR
- Zip
- 97214-4502
- Phone Number
- 971-217-9008
- Fax Number
- 971-260-0355
License Information
- License Number
- 113533
- License State
- OR
- Taxonomy
- Community Health Worker · 172V00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Ruby A Ackermann, CHW?
The NPI number of Ruby A Ackermann, CHW is 1033079785. It was assigned on November 14, 2025 and is currently active in the NPPES registry.
What is the specialty of Ruby A Ackermann, CHW?
Ruby A Ackermann, CHW is registered under the primary taxonomy Community Health Worker (code 172V00000X), licensed in OR under license number 113533.
Where does Ruby A Ackermann, CHW practice?
The practice location is 703 NE Hancock St, Portland, OR 97212-3955. The office can be reached at 503-230-9875 (phone) or 503-230-9877 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1033079785 directly on the NPPES registry website.