Organization
RYAN R. STEVENS, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN R STEVENS M.D. (PRESIDENT)
(541) 757-4999
Entity
Organization
Contact information
Practice address
1867 NW KINGS BLVD, CORVALLIS, OR 97330-1907
(541) 757-4999
(541) 757-0800
Mailing address
1867 NW KINGS BLVD, CORVALLIS, OR 97330-1907
(541) 757-4999
(541) 757-0800
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD22325
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
288322
—
OR
Enumeration date
06/01/2010
Last updated
06/01/2010
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