Individual
LESLEY RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1427 SE 182ND AVE, PORTLAND, OR 97233-5008
(503) 761-6006
Mailing address
1027 E BURNSIDE ST, PORTLAND, OR 97214-1328
(503) 239-8400
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
A72919
CA
207Q00000X
Family Medicine Physician
Primary
MD151645
OR
Other
Enumeration date
01/13/2007
Last updated
08/08/2024
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