Individual
RYAN BARLOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, GH219, PORTLAND, OR 97239
(503) 494-8311
Mailing address
3181 SW SAM JACKSON PARK RD., GH219, PORTLAND, OR 97239
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA60575932
WA
363A00000X
Physician Assistant
Primary
—
WA
Other
Enumeration date
05/01/2014
Last updated
06/25/2018
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