Individual
DR. MITCHELL RAY RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1015 NW 22ND AVE, DEPARTMENT OF PATHOLOGY, PORTLAND, OR 97210-3025
(503) 413-7636
(503) 413-6267
Mailing address
1015 NW 22ND AVE, DEPARTMENT OF PATHOLOGY, PORTLAND, OR 97210-3025
(503) 413-7636
(503) 413-6267
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD21690
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1344158
—
OR
05
—
8429037
—
WA
Enumeration date
02/05/2007
Last updated
05/14/2009
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