Individual
RYAN REUSSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
18766 SE STARK ST, PORTLAND, OR 97233-5330
(503) 243-2236
Mailing address
PO BOX 8459, PORTLAND, OR 97207-8459
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
10/27/2025
Last updated
10/27/2025
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