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Individual

DR. RYAN GORGER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
800 SW 13TH AVE, PORTLAND, OR 97205-1999
(503) 221-0161
Mailing address
800 SW 13TH AVE, PORTLAND, OR 97205-1999
(503) 221-0161

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3209ATI
OR

Other

Enumeration date
08/20/2006
Last updated
12/29/2020
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