Individual
RYAN SHORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1251 NE ELM ST STE 2A, PRINEVILLE, OR 97754-3143
(541) 447-6846
(541) 447-1243
Mailing address
1480 NE VILLAGE ST, FAIRVIEW, OR 97024-3827
(503) 489-1174
(503) 489-1650
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
63137
OR
Other
Enumeration date
02/26/2019
Last updated
02/26/2019
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