Individual
DR. RYAN HOMER SHURTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
2730 S MOODY AVE, PORTLAND, OR 97201-5042
(503) 494-1352
(503) 494-8351
Mailing address
2730 S MOODY AVE, PORTLAND, OR 97201-5042
(503) 494-1352
(503) 494-1352
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
D10144
OR
1223E0200X
Endodontics
DE61143049
WA
1223E0200X
Endodontics
RES3200
OH
Other
Enumeration date
06/18/2012
Last updated
05/25/2022
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