Individual
TARA JEAN RYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
2600 CENTER ST NE, SALEM, OR 97301-2669
(503) 979-1881
Mailing address
2600 CENTER ST NE, SALEM, OR 97301-2669
(503) 979-1881
Taxonomy
Speciality
Code
Description
License number
State
103TF0200X
Forensic Psychologist
Primary
3603
OR
103TF0200X
Forensic Psychologist
PSY.0005795
CO
Other
Enumeration date
05/30/2024
Last updated
11/26/2024
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