Individual
JULIE CATHERINE RYSENGA
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1050 SW 3RD AVE, SUITE 2200, ONTARIO, OR 97914-2193
(541) 881-1300
(541) 889-4321
Mailing address
1050 SW 3RD AVE, SUITE 2200, ONTARIO, OR 97914-2193
(541) 881-1300
(541) 889-4321
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
18740
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
064472
—
OR
01
—
BBMD2
BLUE CROSS OF ID
ID
Enumeration date
02/15/2006
Last updated
07/08/2007
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