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Individual

RYAN BRAND GIENAPP

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
3521 NW SAMARITAN DR STE 201, CORVALLIS, OR 97330-4744
(541) 768-5140
Mailing address
PO BOX 1189, CORVALLIS, OR 97339-1189

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
199627
OR
207R00000X
Internal Medicine Physician
Primary
DO217191
OR

Other

Enumeration date
04/14/2020
Last updated
09/19/2023
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