Individual
RYAN BOURDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1515 NW 18TH AVE STE 400, PORTLAND, OR 97209-2516
(503) 228-1306
Mailing address
1515 NW 18TH AVE STE 400, PORTLAND, OR 97209-2516
(503) 228-1306
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
05/25/2018
Last updated
05/25/2018
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