Individual
RYAN LOBDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRM
Contact information
Practice address
3206 ONYX AVE, KLAMATH FALLS, OR 97603-7279
(154) 136-3127
Mailing address
222 W OREGON AVE, KLAMATH FALLS, OR 97601-1450
(541) 238-4728
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
THW000109035
OR
Other
Enumeration date
05/24/2023
Last updated
05/24/2023
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