Individual
RYAN WHITLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
2045 SILVERTON RD NE STE B, SALEM, OR 97301-0100
(702) 600-6339
Mailing address
967 PARK AVE NE, SALEM, OR 97301-2839
(843) 610-2971
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
202211856RN
OR
Other
Enumeration date
09/19/2023
Last updated
09/19/2023
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