Individual
MR. JOHN A RYBAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC.
Contact information
Practice address
3059 NE GLISAN ST, PORTLAND, OR 97232-3272
(503) 890-4446
Mailing address
3400 SE 75TH AVE, PORTLAND, OR 97206-2408
(503) 890-4446
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC161027
OR
Other
Enumeration date
01/22/2013
Last updated
05/06/2014
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