Individual
MR. RYAN R MACPHEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, NP
Contact information
Practice address
314 NE 19TH AVE, PORTLAND, OR 97232-2829
(415) 515-4385
(415) 481-0379
Mailing address
2625 18TH ST, SAN FRANCISCO, CA 94110-2110
(415) 515-4385
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
10025938
OR
163W00000X
Registered Nurse
95229252
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
10025938
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
95021959
CA
Other
Enumeration date
11/14/2020
Last updated
11/22/2024
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