Individual
RYAN JAMES SEIDLITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3550 SE WOODWARD ST, PORTLAND, OR 97202-1552
(503) 517-8663
Mailing address
735 NE 80TH AVE, PORTLAND, OR 97213-6924
(971) 570-4718
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
R10752
OR
Other
Enumeration date
10/09/2008
Last updated
02/14/2025
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