Organization
KELLY W RYDLUND, MD, LLC
Active
Parent organization
KELLY W RYDLUND, MD, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
KELLY W RYDLUND, MD, LLC
Authorized official
KELLY W RYDLUND MD (ASSOCIATE)
(503) 656-0601
Entity
Organization
Contact information
Practice address
1508 DIVISION ST, SUITE 115, OREGON CITY, OR 97045-1582
(503) 656-0601
(503) 656-1389
Mailing address
1508 DIVISION ST, SUITE 115, OREGON CITY, OR 97045-1582
(503) 656-0601
(503) 656-1389
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
MD25603
OR
Other
Enumeration date
01/09/2008
Last updated
01/09/2008
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