Individual
MR. RYAN JAMES VILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5005 NE SANDY BLVD, PORTLAND, OR 97213-1941
(503) 233-6940
Mailing address
800 SW 13TH AVE, PORTLAND, OR 97205-1902
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
OR
Other
Enumeration date
02/20/2021
Last updated
10/21/2022
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