Individual
MRS. JOETH D. RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2084 NE PROFESSIONAL CT, BEND, OR 97701-6077
(541) 383-3005
(541) 383-1883
Mailing address
PO BOX 4228, PORTLAND, OR 97208-4228
(541) 383-3005
(541) 383-1883
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00589
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500603157
—
OR
Enumeration date
12/07/2005
Last updated
01/02/2026
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