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Individual

RYAN PLANCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
1840 E PORTLAND RD, NEWBERG, OR 97132-1847
(888) 227-3312
Mailing address
PO BOX 3229, PORTLAND, OR 97208-3229
(888) 227-3312

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA207983
OR
363AM0700X
Medical Physician Assistant
5601005853
MI

Other

Enumeration date
09/01/2010
Last updated
10/01/2024
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