Individual
BRIAN LAVERN RYDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
9205 SW BARNES RD, PORTLAND, OR 97225-6603
(503) 216-1234
Mailing address
12535 NW BRIMPTON CT, PORTLAND, OR 97229-9310
(503) 645-5483
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
OR
Other
Enumeration date
08/14/2006
Last updated
07/08/2007
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