Individual
RYAN ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
13939 NW CORNELL RD, PORTLAND, OR 97229-5404
(503) 726-8880
Mailing address
1200 CORPORATE DR STE 400, BIRMINGHAM, AL 35242-5424
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
63534
OR
Other
Enumeration date
01/02/2020
Last updated
01/02/2020
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