Individual
RYAN POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 MULLINS DR, LEBANON, OR 97355-3983
(541) 259-0200
Mailing address
200 MULLINS DR, LEBANON, OR 97355-3983
(541) 259-0200
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
DO214750
OR
Other
Enumeration date
04/04/2018
Last updated
10/17/2023
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