Healthcare Provider Details

I. General information

NPI: 1174438428
Provider Name (Legal Business Name): RUTH MES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/18/2026
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

260 SW MADISON AVE STE 107
CORVALLIS OR
97333-4728
US

IV. Provider business mailing address

7267 SE BERG DR
ADAIR VILLAGE OR
97330-6568
US

V. Phone/Fax

Practice location:
  • Phone: 702-708-9992
  • Fax:
Mailing address:
  • Phone: 208-320-1602
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: