Individual
ALVIN LARRY RYALS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PEER PARENT MENTOR
Contact information
Practice address
321 N 5TH ST APT 24, KLAMATH FALLS, OR 97601-3073
(458) 290-8589
Mailing address
321 N 5TH ST APT 24, KLAMATH FALLS, OR 97601-3073
(458) 290-8589
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
08/13/2024
Last updated
11/10/2025
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