Individual
RYAN L WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10123 SE MARKET ST, PORTLAND, OR 97216-2532
(503) 257-2500
Mailing address
1400 SW 5TH AVE STE 500, PORTLAND, OR 97201-5537
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
IP1041
KY
207L00000X
Anesthesiology Physician
Primary
MD151463
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500624550
—
OR
01
—
P00984039
RR MEDICARE
OR
Enumeration date
10/04/2007
Last updated
02/06/2024
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