Individual
RYAN NESBIT DEANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3181 SW SAM JACKSON PKWY, PORTLAND, OR 97239
(503) 494-8311
Mailing address
3181 SW SAM JACKSON PKWY, PORTLAND, OR 97239
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD203537
OR
Other
Enumeration date
04/19/2017
Last updated
02/17/2023
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