Individual
DR. RYAN JEFFREY LI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3181 SW SAM JACKSON PARK RD # 01, PORTLAND, OR 97239-3011
(302) 893-4959
Mailing address
3181 SW SAM JACKSON PARK RD # 01, PORTLAND, OR 97239-3011
(302) 893-4959
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
A131423
CA
207Y00000X
Otolaryngology Physician
Primary
MD174035
OR
Other
Enumeration date
05/06/2008
Last updated
10/02/2015
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