Individual
MR. JOHN RYAN JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4455 NE HWY 20, CHILDREN'S FRAM HOME, CORVALLIS, OR 97330
(541) 758-5900
Mailing address
3415 SE POWELL BLVD, PORTLAND, OR 97202-3371
(503) 234-9591
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
103K000000X
OR
Other
Enumeration date
10/26/2011
Last updated
10/26/2011
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