Individual
DAVID A RYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
2250 NW FLANDERS ST STE 201, PORTLAND, OR 97210-5410
(503) 750-1859
(844) 293-3937
Mailing address
2250 NW FLANDERS ST STE 201, PORTLAND, OR 97210-5410
(503) 427-1952
(844) 293-3937
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L5276
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500706991
—
OR
Enumeration date
05/16/2012
Last updated
11/13/2020
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