Individual
RYAN L COSTA MORRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-8311
Mailing address
1712 CONCORD AVE, MOSCOW, ID 83843-9562
(509) 330-0093
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
10019711
OR
Other
Enumeration date
07/07/2025
Last updated
07/07/2025
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