Individual
RYAN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2925 RYAN DR SE, SALEM, OR 97301
(503) 399-1262
Mailing address
2925 RYAN DR SE, SALEM, OR 97301-9687
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD182936
OR
2085R0202X
Diagnostic Radiology Physician
MD61621455
WA
Other
Enumeration date
04/27/2012
Last updated
12/10/2024
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