Individual
MR. RYAN DOUGLAS ARCHIBALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
STUDENT/INTERN
Contact information
Practice address
2043 COLLEGE WAY, FOREST GROVE, OR 97116-1756
(503) 352-2202
(503) 352-2261
Mailing address
2615 A STREET UNIT A, FOREST GROVE, OR 97116-1411
(503) 922-0021
(503) 352-2261
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/03/2011
Last updated
02/03/2011
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