Individual
RYAN ESPARZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
890 OAK ST SE BLDG A, SALEM, OR 97301-3905
(503) 561-5200
Mailing address
24 JUNCTION CT, TRABUCO CANYON, CA 92679-5348
(949) 533-7943
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA212946
OR
Other
Enumeration date
10/05/2022
Last updated
10/05/2022
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