Individual
KATHLEEN ANNE RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
5725 NE 138TH AVE, PORTLAND, OR 97230-3494
(503) 261-7547
Mailing address
5725 NE 138TH AVE, PORTLAND, OR 97230-3494
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH0007920
OR
Other
Enumeration date
02/09/2022
Last updated
02/09/2022
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