Individual
RYAN BAUGUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
17355 BOONES FERRY RD STE B, LAKE OSWEGO, OR 97035-5225
(503) 635-0844
(503) 635-0812
Mailing address
16083 SW UPPER BOONES FERRY RD STE 300, TIGARD, OR 97224-7736
(800) 219-8835
(503) 639-9699
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
61034
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500690336
—
OR
Enumeration date
08/04/2015
Last updated
02/04/2016
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