Individual
ERIC R RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3181 SW SAM JACKSON PARK RD # 6, PORTLAND, OR 97239-3011
(503) 494-8296
Mailing address
3181 SE SAM JACKSON PARK ROAD, MAIL CODE: SJH6, PORTLAND, OR 97239
(719) 660-1286
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD216486
OR
207RN0300X
Nephrology Physician
MD216486
OR
207RN0300X
Nephrology Physician
Primary
V8751
TX
Other
Enumeration date
05/31/2018
Last updated
06/17/2025
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