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MR. RANDALL DAVID RUGG PMHNP
NPI 1467187633
Nurse Practitioner - Psychiatric/Mental Health in Portland, OR

Active since July 20, 2022
7105 SW VARNS ST STE 270, PORTLAND, OR 97223(503) 389-1500 Get Directions Write a Review

NPPES record last updated: July 20, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Randall David Rugg Pmhnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. RANDALL DAVID RUGG PMHNP (NPI 1467187633) is an individual psychiatric/mental health provider in Portland, Oregon, licensed in Oregon (202210677NP-PP) and active in the NPI registry since July 2022.

NPPES Registry Identity

NPI1467187633
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameMR. RANDALL DAVID RUGGCredential: PMHNP
Location Address7105 SW VARNS ST STE 270Portland, OR 97223-8173
Mailing Address4207 Se Woodstock Blvd # 429Portland, OR 97206-6267 · (503) 682-5000
Phone(503) 389-1500
Sole ProprietorYes
Enumeration DateJuly 20, 2022
NPPES CertifiedJuly 20, 2022
✔ NPI 1467187633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in OR · 202210677NP-PP
7105 SW VARNS ST STE 270, Portland, OR 97223
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and more.Insurance ›

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROGER VAN TUNKS PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
7105 SW VARNS ST STE 270
PORTLAND, OR 97223
Washington County (503) 389-1500
DR. ANTHONY PABST DNP, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
7105 SW VARNS ST STE 270
TIGARD, OR 97223
Washington County (503) 389-1500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Randall Rugg's NPI number?

The NPI number for Randall Rugg is 1467187633. It was assigned to this individual provider in the NPPES registry on July 20, 2022.

Where is Randall Rugg located?

Randall Rugg practices at 7105 SW Varns St Ste 270, Portland, OR 97223. The listed phone number is (503) 389-1500.

What is Randall Rugg's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

What insurance does Randall Rugg accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Randall Rugg as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Randall Rugg was last updated on July 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.