Individual
RYAN LUSCOMBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
58147 COLUMBIA RIVER HWY, SUITE A, SAINT HELENS, OR 97051-6226
(503) 397-1914
(503) 366-0422
Mailing address
16083 SW UPPER BOONES FERRY RD, STE. 300, TIGARD, OR 97224-7736
(800) 219-8835
(503) 639-9699
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
OR 6368
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500629366
—
OR
Enumeration date
12/13/2010
Last updated
11/09/2012
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