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Individual

RYAN ERIC ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
R.T.(R)(CT)(MR)(N)

Contact information

Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-8311
Mailing address
3181 SW SAM JACKSON PARK RD, LBRB PETMRI, PORTLAND, OR 97239-3011
(503) 494-8311

Taxonomy

Speciality
Code
Description
License number
State
207UN0902X
Nuclear Imaging & Therapy Physician
Primary
909275
OR
247100000X
Radiologic Technologist
378924
2471C3401X
Computed Tomography Radiologic Technologist
378924
2471M1202X
Magnetic Resonance Imaging Radiologic Technologist
378924
2471N0900X
Nuclear Medicine Technology Radiologic Technologist
378924

Other

Enumeration date
02/07/2026
Last updated
05/05/2026
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