Ruby A Ackermann, CHW
Community Health Worker in Portland, Oregon
1033079785- Practice location
- 703 NE Hancock St, Portland, OR 97212-3955
- Phone
- 503-230-9875
- Fax
- 503-230-9877
- Last updated
- November 19, 2025
Ruby A Ackermann, CHW is a Community Health Worker based in Portland, OR. Ruby A Ackermann, CHW holds the professional credentials of CHW. The NPI number for Ruby A Ackermann, CHW is 1033079785 and holds license No. 113533 (OR). The current practice location address is 703 NE Hancock St, Portland, OR 97212-3955 and the office can be reached by phone at 503-230-9875 and by fax at 503-230-9877. The NPI was assigned on November 14, 2025 and the record was last updated in NPPES on November 19, 2025.
●Provider Profile Details
- NPI Number
- 1033079785
- Provider Name
- Ruby Alexandra Ackermann
- Credential
- CHW
- Entity Type
- Individual (Type 1 NPI)
- Gender
- Female
- Primary Taxonomy
- Community Health Worker · 172V00000X
- Sole Proprietor
- No
- Enumeration Date
- November 14, 2025
- Last Update Date
- November 19, 2025
- Certification Date
- November 19, 2025
- NPI Status
- Active
◉Business Practice Location Address
- Address
- 703 NE Hancock St
Portland, OR 97212-3955 - City
- Portland
- State
- Oregon
- ZIP
- 97212-3955
- Country
- US
- Phone Number
- 503-230-9875
- Fax Number
- 503-230-9877
✉Business Mailing Address
- 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
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Yes | 113533 | OR |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
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View all providers in Portland →?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) and holds license No. 113533 (OR).
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 at npiregistry.cms.hhs.gov.