Individual
RYAN WATILO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1445 NE MILLER ST STE 3A, MCMINNVILLE, OR 97128-8460
(503) 770-0352
Mailing address
1445 NE MILLER ST STE 3A, MCMINNVILLE, OR 97128-8460
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
66082
OR
Other
Enumeration date
05/09/2026
Last updated
05/09/2026
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