Individual
MR. RYAN OTTO MACHERAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRM
Contact information
Practice address
10564 SE WASHINGTON ST, PORTLAND, OR 97216-2809
(503) 502-9487
(503) 228-9558
Mailing address
10564 SE WASHINGTON ST, PORTLAND, OR 97216-2809
(503) 502-9487
(503) 228-9558
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
09/11/2015
Last updated
09/11/2015
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