Individual
STEVE RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, CCC-SLP
Contact information
Practice address
3315 SW FALCON ST, PORTLAND, OR 97219
(503) 522-8351
Mailing address
2360 SW 170TH AVE, BEAVERTON, OR 97006-4345
(503) 356-8334
(503) 356-8726
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
012744
OR
235Z00000X
Speech-Language Pathologist
Primary
12744
OR
Other
Enumeration date
03/28/2012
Last updated
05/14/2018
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