Individual
KATHERINA ANN RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3580 SE 82ND AVE, PORTLAND, OR 97266-2902
(971) 339-9240
(503) 983-9899
Mailing address
3580 SE 82ND AVE, PORTLAND, OR 97266-2902
(971) 339-9240
(503) 983-9899
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
202002196LPN
OR
Other
Enumeration date
01/08/2025
Last updated
01/08/2025
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