Individual
RYAN WILLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3600 NW SAMARITAN DR, CORVALLIS, OR 97330
(541) 768-4906
Mailing address
6644 E BAYWOOD AVE, MESA, AZ 85206-1797
(480) 321-3844
(480) 321-3840
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
009198
AZ
208600000X
Surgery Physician
PG182851
OR
208D00000X
General Practice Physician
DO188985
OR
Other
Enumeration date
04/26/2017
Last updated
01/03/2022
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