Individual
RYAN BENNETT HUTCHISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1132 SW 13TH AVE, PORTLAND, OR 97205
(503) 535-3860
(503) 535-3868
Mailing address
1132 SW 13TH AVE, PORTLAND, OR 97205
(503) 535-3860
(503) 535-3868
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
38829
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4106935
—
TN
Enumeration date
07/27/2006
Last updated
03/18/2017
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