Individual
RYAN ROBERT GORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
465 NW ELM AVE STE 103, REDMOND, OR 97756-1692
(541) 699-6998
Mailing address
465 NW ELM AVE STE 103, REDMOND, OR 97756-1692
(541) 699-6998
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
OR
Other
Enumeration date
03/18/2025
Last updated
03/18/2025
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