Individual
DR. RYAN JOHN EDWARD RENZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
10225 SW HALL BLVD STE 104, TIGARD, OR 97223-8855
(503) 208-3579
Mailing address
5240 SW 42ND AVE, PORTLAND, OR 97221-3641
(208) 651-0400
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6361
OR
Other
Enumeration date
01/15/2024
Last updated
01/15/2024
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