Individual
RYAN HIMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
51377 SW OLD PORTLAND RD STE C, SCAPPOOSE, OR 97056-4023
(503) 418-4222
Mailing address
2730 S MOODY AVE, PORTLAND, OR 97201-5042
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
PA217670
OR
Other
Enumeration date
09/02/2021
Last updated
07/10/2024
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