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Individual

RYAN B ISRAELSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3121 SIGNATURE CT, MEDFORD, OR 97504-7738
(541) 858-1003
(541) 255-2997
Mailing address
3121 SIGNATURE CT, MEDFORD, OR 97504-7738
(541) 858-1018

Taxonomy

Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
MD187596
OR
207R00000X
Internal Medicine Physician
MD187596
OR
208000000X
Pediatrics Physician
MD187596
OR
2080P0201X
Pediatric Allergy/Immunology Physician
MD187596
OR

Other

Enumeration date
04/11/2012
Last updated
04/27/2026
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