Individual
RYAN MICHAEL JOSHI IVIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-7641
Mailing address
1542 SE POPLAR AVE, PORTLAND, OR 97214-4863
(347) 205-1983
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
175297
OR
Other
Enumeration date
04/23/2010
Last updated
02/27/2017
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