Individual
RYAN GUNTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
135 NE 102ND AVE, PORTLAND, OR 97220-4167
(503) 894-9005
(503) 719-4178
Mailing address
135 NE 102ND AVE, PORTLAND, OR 97220-4167
(503) 894-9005
(503) 719-4178
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA174629
OR
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
09/01/2015
Last updated
03/18/2021
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