Individual
MRS. RYANNE KATE WALTHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-8211
Mailing address
1600 MEDICAL PKWY, CARSON CITY, NV 89703-4625
(530) 304-3715
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
120025
CA
207P00000X
Emergency Medicine Physician
Primary
15788
NV
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/06/2009
Last updated
11/06/2015
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