Individual
RYAN LEE PERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRM, PSS
Contact information
Practice address
182 SW ACADEMY ST, DALLAS, OR 97338-1996
(503) 623-9289
Mailing address
3961 NW LINCOLN AVE, YAMHILL, OR 97148-8330
(503) 956-2849
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
THW000107543
OR
Other
Enumeration date
03/29/2024
Last updated
10/22/2024
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