Individual
RYAN DOZLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
2525 12TH ST SE STE 210, SALEM, OR 97302-2281
(503) 719-4648
(503) 296-2022
Mailing address
2525 12TH ST SE STE 210, SALEM, OR 97302-2281
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
202215295NP-PP
OR
Other
Enumeration date
05/18/2021
Last updated
05/30/2024
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