Individual
DR. RYAN R. BLAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
3435 SE 75TH AVE, PORTLAND, OR 97206-2407
(503) 777-5544
(503) 777-0460
Mailing address
3435 SE 75TH AVE, PORTLAND, OR 97206-2407
(503) 777-5544
(503) 777-0460
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7887
OR
Other
Enumeration date
05/17/2007
Last updated
07/08/2007
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